Wu Wei-Ting, Chang Ke-Vin, Lin Chih-Peng, Yeh Chi-Chuan, Özçakar Levent
Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, Taipei, Taiwan.
Department of Physical Medicine and Rehabilitation, National Taiwan University College of Medicine, Taipei, Taiwan.
Ultrasonography. 2022 Jul;41(3):610-623. doi: 10.14366/usg.21192. Epub 2022 Feb 24.
Inguinal hernia is the most prevalent type of abdominal wall hernia. Indirect inguinal hernia is twice as common as direct inguinal hernia. Computed tomography and magnetic resonance imaging can be used to evaluate inguinal hernia, but these modalities are greatly limited by their cost and availability. Ultrasonography has emerged as the most convenient imaging tool for diagnosing inguinal hernia due to its advantages, such as portability and absence of radiation. The present pictorial review presents an overview on the use of ultrasonography in the evaluation of inguinal hernia with a particular emphasis on the regional anatomy, relevant scanning tips, identification of subtypes, postoperative follow-up, and diagnosis of pathologies mimicking inguinal hernia.
腹股沟疝是腹壁疝最常见的类型。间接性腹股沟疝的发病率是直接性腹股沟疝的两倍。计算机断层扫描和磁共振成像可用于评估腹股沟疝,但这些检查方式在成本和可及性方面存在很大限制。超声检查因其便携性和无辐射等优点,已成为诊断腹股沟疝最便捷的成像工具。本图像综述概述了超声检查在腹股沟疝评估中的应用,特别强调了局部解剖结构、相关扫描技巧、亚型识别、术后随访以及对类似腹股沟疝的病变的诊断。