The Findings of Inguinal Hernia and Femoral Hernia on Multi-slice Spiral CT

Objective To study the multi-slice spiral CT(MSCT) features of hernia of inguinal hernia and femoral hernia,and to explore the diagnosis and differential diagnosis of inguinal hernia and femoral hernia with MSCT.Methods 30 cases with inguinal hernia and femoral hernia confirmed by operation were retrospectively analyzed.All cases were undergone the MSCT examination.The key point of observation was the position,course,herniated contents,adjacent structures as well as complications.Result A total of 30 subjects were enrolled in this study,16 were indirect inguinal hernia,11 were direct hernia,3 were femoral hernia.12 indirect hernia displayed enlargment of the groin deep ring,and 16 indirect hernia showed enlargment of the inguinal canal.When took the pubic tubercle as the point of reference,10 indirect hernia and 4 direct hernia located in upper outer quadrant and upper medial quadrant,yet 3 femoral hernia located in lower outer quadrant.2 femoral hernia showed venous compression.Conclusion To make right diagnosis of inguinal hernia and femoral hernia,a comprehensive observation of the changes of internal inguinal ring,inguinal canal and the relationship between the hernia and the adjacent structure such as the inguinal ligament,the inferior epigastric vessels,femoral vessels should be made.Meanwhile,importance should be attached to MPR'role in the diagnosis of inguinal hernia and femoral hernia.