Institute for Diagnostic and Interventional Radiology, University Hospital Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany.
Institute of Neuroradiology, University Hospital Frankfurt, Frankfurt am Main, Germany.
Hernia. 2023 Feb;27(1):31-34. doi: 10.1007/s10029-022-02642-6. Epub 2022 Jul 2.
The objective of this study was to analyze the role of dynamic magnetic resonance imaging (MRI) in patients who suffered from groin pain and whose physical examination and ultrasound returned inconclusive/indefinite results, as well as in patients receiving an ongoing assessment for a previous herniotomy.
For this study, 25 patients 14 women and 11 men were selected with a mean age of 41.6 years, including clinical complaints, such as groin pain and or a previous herniotomies. These patients underwent dynamic MRI. Reports were created by a radiology resident and a radiology consultant. Clinical and ultrasound documentation were compared to with imaging results from the MRI.
The results of the dynamic MRI were negative for 23 patients (92%) and positive for two patients (8%). One patient suffered from an indirect hernia and one from a femoral hernia. A repeated hernia was an excluding for the preoperated patients with pain and ongoing assessment.
Dynamic MRI shows substantially higher diagnostic performance in exclusion of inguinal hernia, when compared to a physical examination and ultrasound. The examination can also be used in assessments to analyze the operation's results.
本研究旨在分析在体格检查和超声检查结果不确定/不明确的腹股沟疼痛患者，以及在持续评估先前疝修补术的患者中，动态磁共振成像（MRI）的作用。
本研究共纳入 25 例患者（14 名女性和 11 名男性），平均年龄为 41.6 岁，包括腹股沟疼痛和/或先前疝修补术等临床症状。这些患者接受了动态 MRI 检查。报告由放射科住院医师和放射科顾问编写。将临床和超声记录与 MRI 成像结果进行比较。
23 例患者（92%）的动态 MRI 结果为阴性，2 例患者（8%）为阳性。1 例患者患有间接疝，1 例患者患有股疝。对于有疼痛和持续评估的术前患者，重复疝是排除因素。
与体格检查和超声相比，动态 MRI 在排除腹股沟疝方面具有更高的诊断性能。该检查还可用于评估手术结果。
