疝囊造影术在隐匿性及复发性腹股沟斜疝诊断中的应用

<title>Herniography in the diagnosis of occult or recurrent inguinal indirect hernia

目的 提高对隐匿性及复发性腹股沟斜疝的认识和诊断水平。方法 对不明原因的腹股沟区疼痛患者,当体格检查无阳性发现时行疝囊造影术。结果 在47例造影者中明确诊断26例,其中原发性斜疝22例,复发性斜疝4例。均获手术证实,行疝囊高位结扎或疝修补术后症状消失。另21例造影阴性者中18例经其它治疗于3个月后症状消失。结论 对不明原因的腹股沟区疼痛患者,疝囊造影术是筛选隐匿性及复发性腹股沟斜疝的一种非常实用的诊断技术。

<Abstrcat>ObjectiveTo improve the diagnosis of occult or recurrent inguinal indirect hernias. Methods 47 patients with obscure groin or incisional pain with normal physical examinations were undergone herniography. Results26 patients had hernias confirmed by herniography, including 22 indirect and 4 recurrent hernias. The symptoms disappeared after herniorrhaphy in the 26 patients. Eighteen of the other 21 patients with normal herniography were asymptomatic via other treatment 3 months after herniography. Conclusions Herniography is useful to diagnose the occult or recurrent inguinal indirect hernias in patients with inguinal region pain of unclear causes.