Peri G, Farina F, Marcianò V, Ridola C, Diana G, Arcara M, Guercio G, Sommariva V
Department of Surgery and Human Anatomy, University of Palermo, Italy.
Ital J Anat Embryol. 1996 Apr-Jun;101(2):69-80.
Seventy-eight patients affected by inguinal hernia, 33 by direct and 45 by indirect external oblique types, were studied. The morphologic and structural aspects of the inguinal canal including its length, the diameter of the deep inguinal ring and the qualitative features of the fascia transversalis and aponeuroses of the external and internal oblique muscles and of the transversus muscle were investigated. In all 78 patients with inguinal hernia, the length of the canal was 4.7 cm. In the 33 patients with direct inguinal hernia the width of the deep inguinal ring varied from 1.5 to 2.5. The aponeurosis of the external oblique muscle was dense in 19 cases (57.58%), rather laddered in 10 (30.30%) and very laddered in 4 (12.12%). The fascia transversalis was discontinued in 28 cases (84.85%) and velamentous in 5 cases (15.15%). In the 45 patients with indirect inguinal hernia the width of the deep inguinal ring varied from 1.5 to 7 cm. The aponeurosis of the external oblique muscle was dense in 14 cases (31.11%), rather laddered in 23 cases (51.11%), very laddered in 8 (17.78%). The fascia transversalis was dense in 15 (33.33%), elastic in 17 (37.78%) and velamentous in 13 cases (28.89%). Based on the results of this study, a series of therapeutic considerations are set forth. The most important of these include early surgical intervention, which is absolutely necessary, and the use of prostheses in the inguinal canal.
对78例腹股沟疝患者进行了研究，其中33例为直疝，45例为斜疝（外侧斜疝类型）。研究了腹股沟管的形态和结构方面，包括其长度、腹股沟深环直径以及腹横筋膜和腹外斜肌、腹内斜肌和腹横肌腱膜的定性特征。在所有78例腹股沟疝患者中，腹股沟管长度为4.7厘米。在33例直疝患者中，腹股沟深环宽度在1.5至2.5之间。腹外斜肌腱膜致密的有19例（57.58%），呈阶梯状的有10例（30.30%），呈高度阶梯状的有4例（12.12%）。腹横筋膜中断的有28例（84.85%），呈帆状的有5例（15.15%）。在45例斜疝患者中，腹股沟深环宽度在1.5至7厘米之间。腹外斜肌腱膜致密的有14例（31.11%），呈阶梯状的有23例（51.11%），呈高度阶梯状的有8例（17.78%）。腹横筋膜致密的有15例（33.33%），有弹性的有17例（37.78%），呈帆状的有13例（28.89%）。基于本研究结果，提出了一系列治疗方面的考虑。其中最重要的包括早期手术干预（这是绝对必要的）以及在腹股沟管中使用假体。
