Smedberg S G, Broomé A E, Elmér O, Gullmo A
Acta Chir Scand. 1985;151(8):663-7.
Obscure groin pain was investigated in 250 consecutive patients (including 171 males) with no palpable hernia or previous hernia operation. Herniography revealed nonpalpable but symptomatic hernia in 51% of the male and 21% of the female patients. Among the hernia patients with bilateral pain, 40% had unilateral hernia. Direct-type hernia was most commonly found. Of the surgically treated patients, 87% were free from groin pain postoperatively. Further clinical investigations with a broad diagnostic approach gave a treatable diagnosis in 70% of the patients without hernia surgery. Spontaneous improvement occurred during the investigation in 25%, and the cause of groin pain remained unclear in 5% of the patients. Herniography is a valuable diagnostic tool in obscure groin pain and its use is justified at an early stage of investigation. "Blind" exploration can thus be avoided.
对250例连续的无明显可触及疝或既往无疝手术史的患者（包括171例男性）进行了隐匿性腹股沟疼痛的调查。疝造影显示，51%的男性患者和21%的女性患者存在不可触及但有症状的疝。在双侧疼痛的疝患者中，40%有单侧疝。最常见的是直疝型。在接受手术治疗的患者中，87%术后腹股沟疼痛消失。采用广泛诊断方法进行的进一步临床调查使70%未接受疝手术的患者得到了可治疗的诊断。25%的患者在调查期间症状自发改善，5%的患者腹股沟疼痛原因仍不清楚。疝造影是隐匿性腹股沟疼痛的一种有价值的诊断工具，在调查早期使用是合理的。因此可以避免“盲目”探查。
