MSCT三维重建技术对腹股沟疝容积测量的临床价值

Clinical Value of MSCT Three-Dimensional Reconstruction Technology in Volume Measurement of Inguinal Hernia

摘要: 目的：探讨多层螺旋CT(MSCT)三维重建技术在腹股沟疝容积测量中的临床应用价值，为临床诊疗提供精准影像学依据。方法：选择2023年1月至2025年3月伽师县人民医院收治的28例腹股沟疝患者为此次研究对象，所有患者均行64排MSCT扫描及三维重建，以术后诊断结果为金标准，探讨其诊断效能。结果：28例患者疝囊容积范围为2.3~45.6 cm³，平均(12.51 ± 2.57) cm³。其中容积 < 10 cm³者12例，10~20 cm³者13例，>20 cm³者3例。疝内容物以肠管和大网膜为主，其次为脂肪组织及膀胱。28例患者中，6例出现并发症，其中肠梗阻1例，腹腔积液4例，腹腔游离气体1例。以术后诊断结果为金标准，MSCT三维重建技术诊断腹股沟疝的准确度为100.0%，灵敏度为100.0%，即所有患者的疝囊均被准确检出。结论：MSCT三维重建技术对腹股沟疝容积测量具有高准确度与灵敏度，可清晰显示疝内容物及并发症，为临床精准诊断与个性化治疗提供可靠影像学依据。

Abstract: Objective: To explore the clinical value of multi-slice spiral computed tomography (MSCT) three-dimensional reconstruction technology in measuring inguinal hernia volume, providing accurate imaging evidence for clinical diagnosis and treatment. Methods: A total of 28 patients with inguinal hernia admitted to Jiashi County People’s Hospital from January 2023 to March 2025 were selected as the study subjects. All patients underwent 64-row MSCT scanning and three-dimensional reconstruction. Postoperative diagnosis results served as the gold standard to evaluate diagnostic efficacy. Results: The hernia sac volume ranged from 2.3 to 45.6 cm³ in the 28 patients, with an average of (12.51 ± 2.57) cm³. Among them, 12 cases had a volume < 10 cm³, 13 cases had a volume of 10~20 cm³, and 3 cases had a volume > 20 cm³. The hernia contents were primarily intestinal loops and omentum, followed by adipose tissue and bladder. Among the 28 patients, 6 developed complications, including 1 case of intestinal obstruction, 4 cases of abdominal effusion, and 1 case of free gas in the abdominal cavity. Using postoperative diagnosis as the gold standard, MSCT three-dimensional reconstruction technology demonstrated an accuracy of 100.0% and sensitivity of 100.0% in diagnosing inguinal hernia, with all hernia sacs accurately detected. Conclusion: MSCT three-dimensional reconstruction technology exhibits high accuracy and sensitivity in measuring inguinal hernia volume, clearly displaying hernia contents and complications, thereby providing reliable imaging evidence for clinical precise diagnosis and personalized treatment.