Fredberg U, Kissmeyer-Nielsen P
AGF Professional Football, Aarhus, Denmark.
Scand J Med Sci Sports. 1996 Aug;6(4):201-4. doi: 10.1111/j.1600-0838.1996.tb00091.x.
This review is based on the results of 308 operations for unexplained, chronic groin pain suspected to be caused by an imminent, but not demonstrable, inguinal hernia: the 'sportsman's hernia' (SH). No differences in perioperative findings between cured and non-cured athletes were found. However, there was a remarkable difference between the various perioperative findings in the studies. It was characteristic that further clinical investigation of the noncured, operated athletes gave an alternative and treatable diagnosis in more than 80% of cases. Herniography was used consistently in the diagnostic process in all the studies on SH. However, in 49% of cases hernias were also demonstrated on the opposite, asymptomatic groin side. In conclusion, the final diagnosis (and treatment) often reflects the speciality of the doctor and the present literature does not supply proper evidence to the theory that SH constitutes a credible explanation for chronic groin pain.
本综述基于308例因疑似即将发生但无法证实的腹股沟疝（即“运动员疝”，SH）导致的不明原因慢性腹股沟疼痛而进行的手术结果。未发现治愈和未治愈运动员的围手术期检查结果存在差异。然而，各项研究的围手术期检查结果之间存在显著差异。其特点是，对未治愈的接受手术的运动员进行进一步临床检查后，超过80%的病例能得出可替代且可治疗的诊断。在所有关于运动员疝的研究中，疝造影术在诊断过程中均被持续使用。然而，在49%的病例中，对侧无症状的腹股沟也发现了疝。总之，最终诊断（及治疗）往往反映了医生的专业特长，且目前的文献并未为运动员疝构成慢性腹股沟疼痛可靠解释这一理论提供适当证据。
