van den Berg J C, de Valois J C, Go P M, Rosenbusch G
Department of Diagnostic Radiology, St. Antonius Hospital, Nieuwegein, The Netherlands.
Invest Radiol. 1997 Oct;32(10):644-7. doi: 10.1097/00004424-199710000-00010.
The authors determine the feasibility of dynamic magnetic resonance (MR) imaging in the diagnosis of groin hernia.
Ten volunteers and 10 patients with clinically evident and surgically proven herniations were evaluated using T1-, and T2-weighted sequences and two dynamic sequences. The visibility of anatomic structures that are crucial for the assessment and the differentiation of inguinofemoral herniations was evaluated.
The inguinal rings could be identified in all subjects. The inferior epigastric vessels could be identified in 85%. In 10 patients, 11 hernias were found at MR imaging, whereas at surgery and physical examination 13 herniations were diagnosed (84.6%). The two hernias that were missed initially could be identified retrospectively on MR imaging. One volunteer showed a small bilateral inguinal hernia on MR imaging that could be confirmed on physical examination.
The anatomic structures that are crucial for the assessment and the differentiation of inguinofemoral herniations can be identified prospectively with MR imaging.
作者确定动态磁共振成像（MRI）在诊断腹股沟疝中的可行性。
使用T1加权和T2加权序列以及两个动态序列对10名志愿者和10名临床症状明显且经手术证实有疝的患者进行评估。评估对腹股沟股疝评估和鉴别至关重要的解剖结构的可视性。
所有受试者均能识别腹股沟环。85%的受试者能识别腹壁下血管。在10例患者中，MRI发现11处疝，而手术和体格检查诊断出13处疝（84.6%）。最初漏诊的两处疝可在MRI上进行回顾性识别。一名志愿者在MRI上显示双侧小腹股沟疝，体格检查可证实。
通过MRI可前瞻性识别对腹股沟股疝评估和鉴别至关重要的解剖结构。
