【摘要】 目的 探讨MSCT和MRI对腹股沟疝修补术后早期并发症的诊断价值。方法 回顾性分析16例腹股沟疝修补术后出现早期并发症患者的临床和影像资料。结果 16例中包括术后感染2例，其中1例为切口感染，CT表现为腹壁软组织肿胀，增强不均匀强化，1例为腹股沟蜂窝组织炎，CT表现为腹股沟肿块，腹股沟管内环增厚，残留疝囊水肿伴疝囊积液、积气；血清肿8例，CT和MRI表现为残留疝囊积液，精索增粗，精索血管迂曲；残留疝囊水肿4例，CT和MRI显示精索增粗，残留疝囊或阴囊内未见积液；补片周围积液2例，MRI显示补片与前腹壁之间少量积液，其中1例伴有补片皱缩。结论 腹股沟疝修补术后早期并发症具有特定的临床背景，MSCT和MRI能够显示腹股沟区深层结构的解剖信息，有助于腹股沟疝修补术后早期并发症的诊断和治疗。更多还原

【Abstract】 Objective To evaluate the value of MSCT and MRI in diagnosis of early postoperative complications of inguinal hernia repair(IHR).Methods Imaging and clinical data in 16 patients with early complications of IHR were analyzed retrospectively.Results Among the complications, postoperative infection in 2 was found including incision infection in 1 and groin cellulitis in other 1. CT showed swelling abdominal wall and heterogeneous enhancement for incision infection, and inguinal mass, deep inguinal ring thickening, edema of residual sac with fluid and air collections for groin cellulitis. Seroma was found in 8,and CT and MRI demonstrated residual sac effusion, spermatic cord thickening and spermatic vascular tortuosity. Residual sac edema was found in 4,and CT and MRI showed thickening spermatic cord without effusion in residual sac or scrotum. Effusions between patch and anterior abdominal wall were detected by MRI in 2,one of which was accompanied by patch shrinking.Conclusion With specific clinical background for early complications of IHR,MSCT and MRI provide more anatomical information of inguinal region, which may contribute to diagnosis and treatment of early postoperative complications.更多还原