Cohen R H, Turkenburg J L, van Dalen A
Department of Radiology, Military Hospital Dr. A. Mathijsen, Utrecht, The Netherlands.
Eur J Radiol. 1990 Nov-Dec;11(3):184-7. doi: 10.1016/0720-048x(90)90052-d.
To assess the safety and accuracy of herniography for the diagnosis of inguinal hernia in young military men with unexplained pain in the groin, a retrospective study in 79 patients with unexplained pain in the groin who underwent a herniography is presented. Nineteen patients (24%) showed a positive herniogram which was confirmed in 15 out of 16 patients who subsequently underwent surgery. All 60 (76%) patients with a negative herniography were followed-up. An inguinal hernia was subsequently found at surgery in two patients out of eight who were operated on later. In our series no serious complications occurred. Herniography has been shown to be a safe and reliable method to demonstrate or exclude an inguinal hernia in young military men with unexplained pain in the groin. The differential diagnosis in this specific patient group is discussed.
为评估疝造影术在诊断腹股沟不明原因疼痛的年轻军人腹股沟疝时的安全性和准确性，本文对79例腹股沟不明原因疼痛且接受了疝造影术的患者进行了回顾性研究。19例患者（24%）疝造影呈阳性，其中16例随后接受手术，15例得到证实。对所有60例（76%）疝造影阴性的患者进行了随访。在随后接受手术的8例患者中，有2例在手术中发现腹股沟疝。在我们的系列研究中未发生严重并发症。疝造影术已被证明是一种安全可靠的方法，可用于显示或排除腹股沟不明原因疼痛的年轻军人的腹股沟疝。本文还讨论了该特定患者群体的鉴别诊断。
