多层螺旋CT结合血清C反应蛋白对腹股沟嵌顿疝患者的诊断价值

目的探讨多层螺旋CT结合血清C反应蛋白（CRP）对腹股沟嵌顿疝患者的诊断价值。 方法选取2018年2月至2021年2月庐江县人民医院收治的经手术证实的腹股沟嵌顿疝患者65例作为研究对象。通过多层螺旋CT并根据临床及影像学资料总结腹股沟嵌顿疝相关影像学特征，以确定腹股沟疝的类型、位置及形态表现。在多层螺旋CT扫描腹股沟患者影像结果的基础上，选取60例普通腹股沟疝患者与65例腹股沟嵌顿患者，对2组患者血清CRP指标水平进行比较，分析血清CRP指标水平对腹股沟嵌顿疝患者的诊断价值。 结果腹股沟嵌顿疝患者CT表现为明确的疝囊影，内可见环状肠壁，部分密度不均匀，周围伴混杂密度影，部分以肠壁环形增厚或异常高密度影为主，并可见局限性肠系膜积液或水肿，普通腹股沟疝患者未观察到上述情况。嵌顿性腹股沟疝患者血清CRP浓度明显高于普通腹股沟疝患者，差异有统计学意义（P<0.05）；冠状位观察腹股沟解剖结构显示率明显高于矢状位，差异有统计学意义（P<0.05）；联合确诊比例明显大于两者单独检测比例，差异有统计学意义（P<0.05）。 结论多层螺旋CT结合血清CRP对腹股沟嵌顿疝患者具有一定的诊断价值。

Diagnostic value of MSCT combined with serum CRP in patients with incarcerated inguinal hernia

ObjectiveTo investigate the diagnostic value of MSCT combined with serum CRP in patients with incarceratedinguinal hernia. Methodsfrom February 2017 to February 2021, 65 patients with incarceratedinguinal hernia confirmed by surgery in our hospital were selected as the research object. The results of scanning images of patients with inguinal hernia were demonstrated by multi-slice spiral CT, and the imaging characteristics of inguinal hernia were summarized according to clinical and imaging data, so as to determine the type, location and morphological manifestations of inguinal hernia. Based on the imaging results of inguinal patients by multi-slice spiral CT scanning, 30 cases of non-inguinal patients and 65 cases of inguinal patients were selected to compare the serum CRP level of the two groups of patients, and analyze the diagnostic value of serum CRP level in patients with inguinal hernia. ResultsThe CT findings of patients with incarcerated inguinal hernia showed definite hernia sac shadow, with annular intestinal wall visible inside, partial uneven density, mixed density shadow around, partial annular thickening or abnormal high density shadow of intestinal wall, and localized mesenteric effusion or edema, which was not observed in ordinary inguinal hernia patients. The serum CRP concentration of incarcerated inguinal hernia patients was significantly higher than that of common inguinal hernia patients, and the difference was statistically significant (P<0.05). The anatomical structure of groin in coronal position was significantly higher than that in sagittal position (P<0.05). The proportion of combined diagnosis was significantly higher than that of single detection, and the difference was statistically significant (P<0.05). ConclusionMSCT combined with serum CRP has high diagnostic value in patients with incarceratedinguinal hernia, which can be used as a reliable reference and worthy of clinical promotion.