Prediction value of spermatic vein diameter in diagnosis of occult oblique inguinal hernia in children
10.3969/j.issn.1673-9701.2025.05.009
- VernacularTitle:精索静脉直径对小儿隐匿性腹股沟斜疝诊断的预测价值研究
- Author:
Hongjun WU
1
;
Feng GAO
;
Ying ZHU
;
Weiqiang CHEN
;
Jiawei WANG
;
Fenhua WANG
Author Information
1. 杭州市临平区妇幼保健院小儿外科,浙江 杭州 311100
- Publication Type:Journal Article
- Keywords:
Diameter of spermatic vein;
Occult oblique inguinal hernia in children;
Predictive value;
Laparoscopy
- From:
China Modern Doctor
2025;63(5):32-34
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the predictive value of spermatic vein diameter in diagnosing occult oblique inguinal hernia in children.Methods A total of 93 children of oblique inguinal hernia were admitted to Hangzhou Linping District Maternal &Child Health Care Hospital from August 2021 to August 2023 as research objects,including 15 with 30 sides of bilateral dominant hernia and 78 with 78 sides of unilateral dominant hernia.Among them,21 with 21 sides of contralateral recessive hernia were found by laparoscopic exploration in unilateral dominant hernia.The 108 sides of dominant hernia were used as dominant hernia group and 21 sides of occult hernia group as recessive hernia group.According to different ages,the patients were divided into 1 to 3 years old group 60 cases,4 to 6 years old group 33 cases;Children with oblique inguinal hernia were divided into＜2 years group(68 cases)and ≥2 years group(25 cases).The color ultrasound diagnostic instrument uses a 7.5MHz linear transducer to measure the diameter of the spermatic vein in the inguinal region of the child using blood flow imaging with a signal displayed at 2mm/s.Receiver operating characteristic(ROC)curve analysis of the predictive value of spermatic vein diameter for the diagnosis of occult inguinal hernia in children.Results Compared with occult hernia group,diameter of spermatic cord was increased in dominant hernia group(P＜0.05).Compared with overt hernia group,diameter of spermatic cord in＜2 year group and ≥2 year group was smaller,and difference was statistically significant(P＜0.05).In prediction of disease diagnosis with different age and course of disease,sensitivity of 1 to 3 years old was lower than that of 4 to 6 years old,and specificity was higher.The sensitivity of ≥2 years group was lower than that of＜2 years group.The specificity was higher and difference was statistically significant(P＜0.05).Conclusion diameter of spermatic vein can be used to predict the diagnosis of occult oblique inguinal hernia in children with high sensitivity and specificity.
