腹股沟疝的多层螺旋CT诊断与鉴别诊断.PDFVIP

·208 · 中华解剖与临床杂志2014年6月第19卷第3期摇 Chin J Anat Clin,June2014,Vol. 19,No. 3 ·断层解剖与影像· 腹股沟疝的多层螺旋 CT诊断与鉴别诊断 赵晓娟摇 王影摇 肖晓娟摇 余深平 摇 摇 揖摘要铱摇 目的摇 探讨多层螺旋CT(MSCT)诊断及鉴别诊断腹股沟直疝、斜疝的主要依据。 方法 摇 回顾性分析2010年10月—2013年6月中山大学附属第一医院诊断并治疗的54 例腹股沟疝患者 的临床及MSCT资料。 按照确诊的疝类型分为直疝组、斜疝组,对比分析2组患者MSCT影像中疝囊 颈位置、腹壁下血管移位情况、新月征、是否进入阴囊等参数。 结果摇 结合临床及MSCT表现,确诊直 疝及斜疝各 34 个。 直疝疝囊颈均位于腹壁下血管内侧,41. 2% (14/ 34)腹壁下血管外移, 61.8%(21/ 34)伴新月征,23.5%(8/ 34)的疝进入阴囊;斜疝中64.7%(22/ 34)的疝囊进入腹股沟管 内口,35.3% (12/ 34)腹股沟管显示不清,88.2%(30/ 34)疝腹壁下血管向内后方移位,均无新月征, 64.7%(22/ 34)的疝进入阴囊。 2 组各参数之间的差异均有统计学意义(P 值均 0.05)。 结论摇 MSCT可显示腹股沟区解剖细节,对腹股沟直疝、斜疝的诊断及鉴别诊断具有重要临床意义。 揖关键词铱摇 腹股沟疝;摇 体层摄影术,X线计算机;摇 诊断;摇 鉴别诊断 Multi鄄spiral computed tomography and differential diagnosis of direct and indirect inguinal hernia * * ZhaoXiaojuan ,Wang Ying,XiaoXiaojuan,YuShenping. Department of Ultrasound,Henan Provincial People忆s Hospital,Zhegnzhou450003,China. Corresponding author:Yu Shenping,Department of Radiology,the First Affiliated Hospital of Sun Yat鄄sen University,Guangzhou510080,China. Email:ethan_yu@ 揖Abstract铱摇 Objective摇 To summarize the primary diagnostic and differential diagnostic criteria of direct and indirect inguinal hernia using multiple鄄spiral computed tomography (MSCT). Methods摇 Fify鄄 four inguinal hernia cases diagnosed andtreated inthefirst affiliatedhospital of SunYat鄄Senuniversityfrom Oct. 2010 toJun. 2013 were divided into direct inguinal herniasgroup and indirect inguinal herniasgroup, the parameters such as location of hernia necks,inferior epigastric vessels movement,lateral crescent sign, whether hernias entered into scrotum or not were compared between the two groups. Results摇 Thirty鄄four direct and34 indirect inguinal herniaswerefinally diagnosed based on both clinical and MSCT features. In the group of direct inguinal hernia, all hernia necks medial to