Leander P, Ekberg O, Sjöberg S, Kesek P
Department of Radiology, Malmö University Hospital, Lund University, Sweden.
Eur Radiol. 2000;10(11):1691-6. doi: 10.1007/s003300000555.
The aims of the present study were to assess if MRI gives the same diagnostic information as herniography concerning the presence of hernias and reveals other causes of groin pain. The prospective study enrolled 20 patients referred for herniography, 6 women and 14 men, mean age 48 years. After herniography the patients underwent MRI using T1-weighted, fat-suppressed inversion recovery (STIR), and magnetic resonance cholangiopancreaticography (MRCP) pulse sequences. No contrast medium was administered at MRI. Herniography revealed 11 hernias and MRI depicted 8 of these. Magnetic resonance imaging depicted well the anatomy in the groins. In 3 patients where hernias were not revealed, MRI revealed inflammatory changes in the symphysis region as a possible cause of groin pain. The primary diagnostic tool for diagnosing hernias is herniography. If the herniogram is normal, MRI may reveal other causes of groin pain and may also better visualize related structures in the groin.
本研究的目的是评估磁共振成像（MRI）与疝造影在检测疝的存在方面是否能提供相同的诊断信息，以及是否能揭示腹股沟疼痛的其他原因。这项前瞻性研究纳入了20名因疝造影前来就诊的患者，其中6名女性，14名男性，平均年龄48岁。疝造影后，患者接受了使用T1加权、脂肪抑制反转恢复（STIR）序列以及磁共振胆胰管造影（MRCP）脉冲序列的MRI检查。MRI检查未使用造影剂。疝造影显示有11例疝，MRI显示其中8例。磁共振成像很好地显示了腹股沟的解剖结构。在3例未发现疝的患者中，MRI显示耻骨联合区域的炎症改变可能是腹股沟疼痛的原因。诊断疝的主要诊断工具是疝造影。如果疝造影正常，MRI可能揭示腹股沟疼痛的其他原因，并且还可能更好地显示腹股沟的相关结构。
