疝造影术——一种用于诊断不明原因腹股沟疼痛患者的有用诊断方法。

Herniography--a useful diagnostic method in patients with obscure groin pain.

作者信息

Magnusson J, Gustafson T, Gullstrand P, Holmin T

出版信息

Ann Chir Gynaecol. 1984;73(2):91-4.

Abstract

118 adult patients (45 females, 73 males) with obscure inguinal pain but without clinical signs of hernia were investigated with herniography. The examination revealed inguinal hernia in 37 instances (15 females, 22 males; 31.3%). Thirty out of these 37 patients (12 females, 18 males) have been operated on. Two false positive cases of the herniography examination have been encountered, giving a diagnostic specificity of herniography of 93.3% (95% confidence interval 78-99%). Six patients (5 females, 1 male) with a negative result of herniography have been operated on. One hernia was detected among these, i.e. one false negative result of herniography. The remaining 75 patients (25 females, 50 males) with a negative result of herniography have not yet developed any hernia. We conclude that herniography is a valuable radiological investigation for demonstration of adult preclinical hernia.

摘要

对118例腹股沟疼痛不明但无疝临床体征的成年患者（45例女性，73例男性）进行了疝造影检查。检查发现37例存在腹股沟疝（15例女性，22例男性；31.3%）。这37例患者中有30例（12例女性，18例男性）接受了手术。疝造影检查出现2例假阳性病例，疝造影的诊断特异性为93.3%（95%置信区间78 - 99%）。6例疝造影结果为阴性的患者（5例女性，1例男性）接受了手术。其中发现1例疝，即疝造影有1例假阴性结果。其余75例疝造影结果为阴性的患者（25例女性，50例男性）尚未发生任何疝。我们得出结论，疝造影是用于显示成人临床前疝的一种有价值的放射学检查方法。