嵌顿性腹股沟直疝发病比率及疝造影术诊断意义--附1例报告并文献复习

目的 分析嵌顿性腹股沟直疝（incarcerated direct inguinal hernia,IDIH)发病比率及疝造影术诊断意义。方法 报告1例双侧IDIH并综合国内外献分析IDIH在嵌顿性腹股沟疝、直疝及腹股沟疝中的发病比率及疝造影术对IDIH最常见病因憩室型直疝（diverticular direct inguinal hernia,DDIH)的术前诊断意义。结果 近年国内老年组中，IDIH在嵌顿性腹股沟疝、直疝及腹股沟疝中的发病比率均有增加。国外献提示术前评估性疝造影术可确认IDIH最常见病因DDIH及同侧多发性疝。结论 应认识到IDIH及DDIH的存在。在老年患中，其发病比率有上升趋势。疝造影术对IDIH最常见病因DDIH有诊断意义。

The proportion of incarcerated direct inguinal hernia to inguinal hernia and the significance of herniography in diagnosis

ObjectiveTo analyze the proportion of incarcerated direct inguinal hernia(IDIH) to inguinal hernia and toshow the significance of herniography in diagnosis. MethodsOne case of bilateral IDIH was reported and the literatureswere reviewed to analyze the proportion of IDIH to incarcerated inguinal hernia, direct inguinal hernia and inguinal hernia.The herniography showed the significance in diagnosis of diverticular direct inguinal hernia(DDIH) , which was the mostcommon cause of IDIH.ResultsIn recent years, the proportion of IDIH to incarcerated inguinal hernia, direct inguinalhernia and inguinal hernia increased in elderly group in China. An evaluative herniography preoperative could demonstrate theDDIH and the ipsilateral multiple hernia.ConclusionsIts very important to confirm IDIH and DDIH. The proportion ofIDIH to inguinal hernia increases in elder. An evaluative herniography is of great value to the diagnosis of DDIH, which is themain cause of IDIH.