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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Groin hernias in adults: value of color Doppler sonography in their classification.
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Groin hernias in adults: value of color Doppler sonography in their classification.

机译：成人腹股沟疝：彩色多普勒超声在其分类中的价值。

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PURPOSE: We assessed the abilities of color Doppler and power Doppler sonography to distinguish among types of groin hernias by demonstrating the inferior epigastric artery (IEA) and its relationship with the hernia sac. METHODS: Nineteen consecutive patients (14 men and 5 women), clinically diagnosed as having groin hernias and scheduled to undergo herniorrhaphy, were prospectively enrolled in this study. Ultrasound examinations were performed preoperatively with a 6-12-MHz linear-array transducer. The IEA was identified, if possible, and its relationship to the hernia sac assessed. The sonographic diagnoses were compared with the operative findings. RESULTS: There were 15 indirect inguinal hernias, 4 direct inguinal hernias, and 1 femoral hernia; 1 patient had bilateral inguinal hernias (indirect and direct). In 18 (90%) of 20 hernia cases, the trunk segment of the IEA could be visualized. In 11 (55%) of 20 hernia cases, the origin segment of the IEA could be visualized and its relationship with the hernia sac assessed. In 9 (82%) of the 11 hernia cases, hernia types were correctly diagnosed by sonography. The overall accuracy of sonography for diagnosing the type of hernia was 45% (9 of 20 hernias). CONCLUSIONS: Color Doppler sonography can accurately differentiate types of groin hernias if the origin segment of the IEA and the hernia sac can be visualized simultaneously. However, color Doppler sonography sometimes failed to visualize this segment. Copyright 2001 John Wiley & Sons, Inc. J Clin Ultrasound 29: 429-434, 2001.
机译：目的：我们评估了彩色多普勒和功率多普勒超声检查的能力，通过展示腹下下动脉（IEA）及其与疝囊的关系来区分腹股沟疝的类型。方法：前瞻性纳入本研究的19例连续患者（14例男性和5例女性），临床上被诊断为腹股沟疝并计划接受疝气检查。术前用6-12MHz线性阵列换能器进行超声检查。如果可能的话，确定IEA，并评估其与疝囊的关系。将超声检查的诊断结果与手术结果进行比较。结果：间接腹股沟疝15例，直接腹股沟疝4例，股骨疝1例。 1例患有双侧腹股沟疝（间接和直接）。在20例疝病例中，有18例（90％）可以看到IEA的干段。在20例疝病例中，有11例（55％）可以看到IEA的起源部分，并评估其与疝囊的关系。在11例疝病例中，有9例（82％）通过超声检查正确诊断出疝类型。超声检查诊断疝气类型的总体准确性为45％（20疝气中的9例）。结论：如果可以同时可视化IEA和疝囊的起源部分，彩色多普勒超声可以准确区分腹股沟疝的类型。但是，彩色多普勒超声检查有时无法可视化此段。版权所有2001 John Wiley＆Sons，Inc. J Clin Ultrasound 29：429-434，2001。

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