运动型疝常见于运动员群体，与其症状相近的鉴别诊断较多，故需要经过仔细的询问病史和客观查体及辅助检查才能做出诊断，核磁共振是最重要的辅助检查手段。在治疗方面，保守治疗已成为首选方案，特别是物理康复治疗。传统开放入路和腹腔镜经腹腹膜前疝修补术、腹腔镜完全腹膜外疝修补术等手术治疗均安全有效，但各种术式的选择仍缺乏高级别临床证据指导。目前对于运动型疝的研究仍然在摸索阶段，其诊断和治疗尚未达成统一共识，仍需要大量的前瞻性临床试验研究提供依据。
关键词:
运动型疝,
腹股沟,
疼痛,
腹腔镜
To summarize the development of diagnosis and therapeutics of Sports hernia. The literature relating to sports hernia in recent years has been reviewed and compared. The term 'inguinal disruption’ (ID) was agreed as the preferred nomenclature with the term 'Sports hernia’ rejected, as no true hernia exists. MRI is probably the most important and effective method for sports hernia. And rehabilitation is playing a big role in treatment. Although, clinical practices have proved that open surgery and laparoscopic surgery are all safe and reliable for sports hernia, there is insufficient scientific evidence to strongly recommend one practice over another. Up to now, researching in sports hernia is still on its exploring period. We have not reached consensus on its diagnosis and therapeutics. More researches with high grade evidence are needed in the future. There is much work to do.
Key words:
Sports hernia,
Groin pain,
Surgery,
Laparoscopic