The clinical value of high frequency ultrasonography in the differential diagnosis of inguinal hernia

Objective To study the clinical value of high frequency ultrasound in diagnosis and differential diagnosis of inguinal hernia.Methods The patients of inguinal hernia were scanned with high frequency ultrasound in supine and standing position,to determine the incidence of hernia and observe the shape,direction of hernia sac,the relation ship between the hernia sac and inguinal ligament,the relationship of the spermatic cord,the relationship of the scro tum,the hernia sac and abdominal interlinked place,the relationship between hernia sac neck and inferior epigastric artery and the abdominal cavity.Results The 112 cases of inguinal hernia were confirmed by operation,and they were 98 cases of oblique hernia,6 cases of straight hernia,and 8 cases of femoral hernia.Preoperative ultrasonography de tected 110 cases,positive rate was 98.2%(110/112),missed diagnosis in 1 cases,accounting for 0.9%(1/112),1 cases of misdiagnosis,accounted for 0.9(1/112).Conclusion High frequency ultrasound can type on inguinal hernia to identify accurately and determine whether the hernia contents,hernia strangulated strangulated inguinal hernia.It can also be made with other inguinal mass identification.So high frequency ultrasonography can be used as the preferred imaging method of inguinal hernia.