Hernia. 2011 Aug;15(4):393-8. doi: 10.1007/s10029-011-0807-z. Epub 2011 Mar 27.
Establishing the existence of inguinal neuritis, and defining patterns of nerve involvement in primary inguinal hernia repair.
A retrospective chart review of 100 consecutive primary inguinal hernia repairs by Lichtenstein technique with frequent ilioinguinal nerve removal was performed. Nerves suspected of containing neuritis had been sent for histological examination. Objective clinical parameters and nerve pathology reports were reviewed. An independent biostatistician reviewed the data.
There were 34 cases of inguinal neuritis in these primary inguinal hernia repairs. The nerve most affected in primary repairs was the ilioinguinal nerve, accounting for 88% of the neuritis cases. Inguinal neuritis occurred mainly at the external oblique neuroperforatum-where the nerve pierces the external oblique fascia, accounting for 83% in primary repair. The only clinical parameter with statistical significance was hernia laterality (P = 0.04), 46% of the patients who had a hernia on the left also had inguinal neuritis.
The overall incidence of inguinal neuritis was 34% in primary inguinal hernia repairs. The ilioinguinal nerve was most commonly affected in these primary inguinal hernia repairs, and inguinal neuritis was most likely to occur at the external oblique neuroperforatum.
确定腹股沟神经炎的存在，并确定原发性腹股沟疝修补术中神经受累的模式。
对 100 例连续行 Lichtenstein 技术的原发性腹股沟疝修补术（经常切除髂腹股沟神经）的患者进行回顾性图表分析。对怀疑含有神经炎的神经进行组织学检查。回顾客观临床参数和神经病理报告。独立生物统计学家审查了数据。
在这些原发性腹股沟疝修补术中，有 34 例出现腹股沟神经炎。在原发性修复中，受累最严重的神经是髂腹股沟神经，占神经炎病例的 88%。腹股沟神经炎主要发生在神经穿过腹外斜肌腱膜的外部斜肌神经穿孔处，占原发性修复的 83%。具有统计学意义的唯一临床参数是疝的侧别（P=0.04），46%的左侧疝患者也患有腹股沟神经炎。
在原发性腹股沟疝修补术中，腹股沟神经炎的总发生率为 34%。在这些原发性腹股沟疝修补术中，髂腹股沟神经最常受累，腹股沟神经炎最可能发生在外部斜肌神经穿孔处。
