Department of Radiology, University College London Hospitals NHS Foundation Trust, London, UK.
Department of Imaging, OneWelbeck, London, United Kingdom.
Br J Radiol. 2022 Jun 1;95(1134):20220163. doi: 10.1259/bjr.20220163. Epub 2022 Mar 29.
Inguinal hernias are the commonest type of hernia, and are frequently encountered by general, abdominal and musculoskeletal radiologists. Such hernias may cause discomfort or pain; but many other conditions may cause pain in a similar location, meaning it is not always straightforward to determine the underlying cause of a particular patient's symptoms. Although surgical fixation of hernia has high success rates with low recurrence, ongoing symptoms are common after apparently uncomplicated surgery. In particular, post-surgical chronic groin pain can be highly problematic in some patients. In this review, we highlight the relevant surgical and imaging anatomy, common modes of clinical presentation, contemporary surgical approaches to the repair of inguinal hernia, imaging techniques to diagnose such hernias in both unoperated and operated groins and mimics of hernia-related pain.
腹股沟疝是最常见的疝类型，普通外科、腹部和肌肉骨骼放射科医生经常会遇到。这种疝可能会引起不适或疼痛；但许多其他疾病也可能在类似的部位引起疼痛，这意味着确定特定患者症状的根本原因并不总是那么简单。尽管疝的手术固定具有高成功率和低复发率，但在看似简单的手术后，症状仍会持续存在。特别是，手术后慢性腹股沟疼痛在某些患者中是非常成问题的。在这篇综述中，我们重点介绍了相关的手术和影像学解剖、常见的临床表现模式、腹股沟疝修复的当代手术方法、用于诊断未手术和已手术腹股沟疝的影像学技术以及与疝相关疼痛的模拟。
