Ekberg O, Fritzdorf J, Blomquist P
Acta Radiol Diagn (Stockh). 1984;25(2):125-8. doi: 10.1177/028418518402500207.
In 303 adults (185 men, 118 women) with unilateral groin pain and a normal physical examination, positive contrast herniography was performed. In 32 per cent of the patients a symptomatic hernia (ipsilateral) and in 18 per cent an asymptomatic hernia (contralateral) were found. The type of hernia was indirect, direct, femoral or obturator. Indirect and direct inguinal hernias were significantly more frequent on the ipsilateral side compared with the contralateral in men with right-sided groin pain. In women with left-side groin pain femoral hernias were significantly more frequent on the ipsilateral side compared with the contralateral. The size alone could not discriminate between ipsi- and contralateral hernias. The results indicate that in most patients there is no specific radiographic appearance which can discriminate between symptomatic and asymptomatic hernias.
对303例单侧腹股沟疼痛且体格检查正常的成年人（185名男性，118名女性）进行了阳性对比造影疝造影检查。在32%的患者中发现了有症状的疝（同侧），18%的患者发现了无症状的疝（对侧）。疝的类型为腹股沟斜疝、直疝、股疝或闭孔疝。在右侧腹股沟疼痛的男性中，同侧腹股沟斜疝和直疝的发生率明显高于对侧。在左侧腹股沟疼痛的女性中，同侧股疝的发生率明显高于对侧。仅疝的大小无法区分同侧和对侧疝。结果表明，在大多数患者中，没有特定的影像学表现能够区分有症状和无症状的疝。
