Srinivasan Anitha, Schuricht Alan
Department of Surgery, Pennsylvania Hospital, Philadelphia 19106, USA.
J Laparoendosc Adv Surg Tech A. 2002 Apr;12(2):101-6. doi: 10.1089/10926420252939600.
"Athletic pubalgia" is a term often used to describe the insidious onset of groin pain in professional athletes. This pain may be caused by a range of musculoskeletal conditions. The diagnosis of occult or "sports" hernia must be considered in athletes who do not respond to conservative treatment modalities directed at these entities.
Fifteen professional athletes were treated for sports hernia by a single surgeon between February 1994 and June 2000. Laparoscopic hernia repairs were performed using an extraperitoneal approach. Athletes presented with symptoms lasting several months to several years. Long-term follow-up was obtained by phone to assess overall patient satisfaction, efficacy of surgery, and effect on athletic performance.
Nearly all (87%) of the athletes were able to return to full, unrestricted athletic activity in 4 weeks or less. Overall long-term satisfaction was high. Long-term follow-up revealed no adverse sequelae or recurrence of symptoms at a median of 46 months.
Laparoscopic preperitoneal hernia repair should be considered as a treatment modality in athletes presenting with chronic groin pain.
“运动性耻骨痛”是一个常用于描述职业运动员腹股沟疼痛隐匿发作的术语。这种疼痛可能由一系列肌肉骨骼疾病引起。对于那些对针对这些病症的保守治疗方法无反应的运动员，必须考虑隐匿性或“运动性”疝的诊断。
1994年2月至2000年6月期间，一名外科医生对15名职业运动员进行了运动性疝的治疗。采用腹膜外途径进行腹腔镜疝修补术。运动员出现症状的时间持续数月至数年。通过电话进行长期随访，以评估患者的总体满意度、手术疗效以及对运动表现的影响。
几乎所有（87%）的运动员能够在4周或更短时间内恢复到完全不受限制的运动活动。总体长期满意度较高。长期随访显示，在中位时间46个月时，没有出现不良后遗症或症状复发。
对于出现慢性腹股沟疼痛的运动员，应考虑将腹腔镜腹膜前疝修补术作为一种治疗方式。
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