Clinical value of multi-slice spiral CT for infant umbilical hernia
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摘要:
目的 探讨多层螺旋CT（MSCT）在婴儿脐疝的临床价值。 方法 回顾性分析2015年2月~2023年8月佛山市妇幼保健院在临床诊断为脐疝且行MSCT检查的10例脐疝婴儿资料，男6例，女4例，年龄0~7月，中位年龄2月，在CT图像上观察脐疝的影像学表现，测量疝环宽度及疝颈比，并追踪其临床治疗效果。 结果 10例患儿均表现为脐部不同程度向前突起，腹壁肌肉中断，其疝出物为充气肠管或脂肪，或两者混合的软组织影；疝环大小为3.1~33.2 mm，中位值14.9 mm，疝颈比为0.18~2.06，中位值1.49。疝环/疝颈比最大的1例患儿行脐疝修补术，其余9例患儿采用保守治疗，均取得良好的治疗效果。 结论 MSCT可为评估婴儿脐疝提供客观的影像学证据，在脐疝的诊断和治疗选择中具有潜在优势。 Abstract:Objective To investigate the clinical value of multi-slice spiral CT (MSCT) in the diagnosis of umbilical hernia in infants. Methods Data of 10 infants with umbilical hernia who were clinically diagnosed and underwent MSCT examination in Foshan Women and Children Hospital from February 2015 to August 2023 were retrospectively analyzed, including 6 male patients and 4 female patients, with an age at 0-7 months and a median age at 2 months. The imaging features of umbilical hernia were analyzed on CT images, and the width of the hernia ring and the hernia-neck ratio were measured. Additionally, the effect of the treatment was tracked. Results All 10 infants showed umbilical protrusion and abdominal wall muscle interruption. The contents of umbilical hernia were either inflatable intestinal tube or fat, or a mixture of soft tissues. The size of the hernia ring ranged from 3.1-33.2 mm, with a median value of 14.9 mm. The hernia-neck ratio ranged from 0.18-2.06, with a median value of 1.49. One infant, who shared the biggest hernia ring/hernia-neck-ratio underwent umbilical hernia repair surgery, while nine infants received conservative treatment, all of which achieved good therapeutic effect. Conclusion MSCT can provide objective imaging evidence for evaluating umbilical hernia in infants, and has potential advantages in the diagnosis and treatment options of umbilical hernia. -
Key words:
- umbilical hernia /
- multi-slice spiral CT /
- infant /
- diagnosis /
- clinical value
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图 1 CT图像上脐疝的疝颈比测量
Figure 1. Hernia-neck-ratio measurement at CT for the umbilical hernia.
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