Guderian R H, Kerrigan K R
Health Care Division, Hospital Vozandes, H.C.J.B. Quito, Ecuador.
Trop Med Parasitol. 1990 Mar;41(1):69-70.
A prevalence of 4.3% (52) groin hernias were observed in 10 communities in the hyperendemic areas of onchocerciasis in Ecuador. Of the 31 patients in whom herniorrhaphy was performed, 87.1% presented with the acquired type of hernias; 15 (48.4%) with direct inguinal and 12 (38.7%) with femoral hernias, while only 12.9% (4) presented with indirect inguinal or the congenital type of hernias. This is in sharp contrast to the usual preponderance of indirect inguinal hernias reported in surveys of other population groups. Mechanisms for this association are discussed.
在厄瓜多尔盘尾丝虫病高度流行地区的10个社区中，腹股沟疝的患病率为4.3%（52例）。在接受疝修补术的31例患者中，87.1%为后天性疝；15例（48.4%）为腹股沟直疝，12例（38.7%）为股疝，而只有12.9%（4例）为腹股沟斜疝或先天性疝。这与其他人群调查中通常报告的腹股沟斜疝占优势形成鲜明对比。文中讨论了这种关联的机制。
