中国普外基础与临床杂志

中国普外基础与临床杂志

腹股沟疝的影像学检查应用研究进展

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目的 总结腹股沟疝主要的辅助检查方法。 方法 通过检索文献,并结合国际指南,综述超声、CT、MRI 等腹股沟疝的主要辅助检查方法。 结果 对腹股沟疝,临床体格检查联合超声检查可以提高诊断灵敏度。CT 检查可以给外科医生提供较好的整体感和结构细节,针对特殊类型疝可以较好地指导术式选择。MRI 检查的软组织辨识度较好,能够显示隐匿疝和网片情况,并对腹股沟疝与组织炎症类疾病的鉴别有较好的提示作用。 结论 各项检查均各有优势,需要结合临床实际和医疗中心条件进行选择。

Objective To discuss the main auxiliary inspection methods and their guiding significance for inguinal hernia. Methods By searching literatures and international guidelines, to review the main auxiliary examination methods, such as ultrasound, CT, and MRI. Results Clinical physical examination combined with ultrasound could increase diagnostic sensitivity. CT could provide surgeons with a better sense of wholeness and structural details, and could be used as a guide for specific types of inguinal hernia. The soft tissue recognition of MRI was good, and it had a good effect on the identification of hidden hernia, mesh conditions, and tissue inflammation. Conclusion Each examination has its own advantages, and should be selected based on clinical practice and medical center conditions.

关键词: 腹股沟疝; 影像学检查; CT; MRI; 超声

Key words: inguinal hernia; imaging examination; CT; MRI; ultrasound

引用本文: 王倩蒨, 刘刚磊, 周建平. 腹股沟疝的影像学检查应用研究进展. 中国普外基础与临床杂志, 2018, 25(12): 1429-1432. doi: 10.7507/1007-9424.201810015 复制

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