The Value Analysis Of Multi-slice Spiral CT 3D Reconstruction In The Size Selection Of Inguinal Hernia Patch

Purpose:Through the application of multi-slice spiral CT 3D reconstruction,we can make an anticipation in the size of hernia patch of preoperative,and compared with the size of the hernia patch that is actually used in the inguinal area of the patients during the operation,then juge whether there are differences in the results of the two measurements.Objective to explore the feasibility of multi-slice spiral CT 3D reconstruction in the selection of size of hernia patch,to study its clinical significance and advantages,then provide technical support for clinical treatment.Methods:100 patients with inguinal hernia were collected from the abdominal endoscopic surgery and hernia center in the affiliated hospital of Qinghai university from December 2016 to October 2017.Multi-slice spiral CT 3D reconstruction was used to measure the distance between 2cm above the tendon(transection point)and the periosteum of the suprapubic branch who met the surgical conditions before operation.In combination with the distance of the superior iliac superior spine to the pubis tubercle(vitro measurement),making an anticipation in the size of hernia patch of preoperative.Subsequently,laparoscopic trans-abdominal preperitoneal hernia repair(TAPP)was choosed to be the operation mode,then measuring the actual distance between 2cm above the tendon(transection point)and the periosteum of the suprapubic branch and compared with the preoperative data.Results:There was no significant difference in the measurement of distance data of preoperative and intraoperative between 2cm above the tendon(transection point)and the periosteum of the suprapubic branch(P>0.05).Conclusion:Through the application of multi-slice spiral CT 3D reconstruction,we can accurately determine the size of hernia patch which is suitable for the inguinal hernia patients before the operation of inguinal hernia repair.