Gwanmesia I I, Walsh S, Bury R, Bowyer K, Walker S
Department of Surgery, Blackpool Victoria Hospital, Blackpool, Lancashire, UK.
Postgrad Med J. 2001 Apr;77(906):250-1. doi: 10.1136/pmj.77.906.250.
A retrospective study of our initial experience of herniography in a district general hospital is presented. A total of 43 herniograms were performed in 41 patients (median age 57, range 16-77, 27 males, 14 females) over a two year period. Four herniograms were unsuccessful due to failed intraperitoneal contrast injection, of which two were repeated (success rate 90.5%). A total of 25 groin hernias were identified radiologically (two on the asymptomatic side). Twenty one patients underwent surgery and a hernia was confirmed in 19 (true positive rate 90.5%). Sixteen herniograms were considered negative and after a median follow up of 28 months (range 16-42 months), none of these patients have developed a hernia. There were no major complications. It is concluded that herniography is a safe and reliable method of determining or excluding the presence of an occult groin hernia.
本文呈现了一项关于在一家地区综合医院进行疝造影术的初步经验的回顾性研究。在两年时间里，对41名患者（年龄中位数57岁，范围16 - 77岁，男性27名，女性14名）共进行了43次疝造影检查。由于腹腔内造影剂注射失败，4次疝造影检查未成功，其中2次进行了重复检查（成功率90.5%）。经放射学检查共发现25例腹股沟疝（2例在无症状侧）。21例患者接受了手术，其中19例确诊为疝（真阳性率90.5%）。16次疝造影检查被认为结果为阴性，在中位随访28个月（范围16 - 42个月）后，这些患者均未发生疝。未出现重大并发症。结论是，疝造影术是确定或排除隐匿性腹股沟疝存在的一种安全可靠的方法。
