静脉切除术治疗阴囊疼痛:它是否有效?
Abdullah Alkhayal1,2, Sahar Aljumaiah1, Abdullah Alhagbani2
1Division of Urology, Department of Surgery, Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia.
Urology annals
|September 4, 2023
概括
静脉切除术在大多数患者中有效地解决了阴囊疼痛,成功与较低的静脉等级和双边手术有关. 由于部分患者经历了手术后持续的疼痛,因此仔细的患者咨询是必不可少的.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术管理的手术管理.
- 疼痛医学 医学 疼痛医学
背景情况:
- 静脉切除术是治疗与静脉相关的阴囊疼痛的主要治疗方法.
- 在文献中,关于术后疼痛缓解的证据是相互矛盾的.
- 一些患者经历持续的疼痛,即使在成功修复静脉之后.
研究的目的:
- 为了评估静脉切除术在患有慢性阴囊疼痛的患者中的疗效.
- 为了将临床静脉等级与术后疼痛结果相关联.
- 确定对持续性疼痛进行二次手术的必要性.
主要方法:
- 对47名接受瘤切除术的患者进行了回顾性分析.
- 数据是在2016年3月至2018年12月期间收集的.
- 纳入标准侧重于患有囊疼痛的患者,这是囊变型的次要原因.
主要成果:
- 在64.3%的患者中,疼痛完全消失;21.4%的患者有改善.
- 较低等级的静脉 (I,II,III) 分别显示100%,85.7%和81.3%的解决/改善.
- 双边静脉切除术导致所有患者的病情完全解决或改善,而单边手术在某些情况下与持续的疼痛有关. 14%的患者需要进行二次干预.
结论:
- 静脉切除术为大多数与静脉相关的阴囊疼痛患者提供了良好的结果.
- 低度静脉和双边手术是手术成功的重要预测因素.
- 术前咨询对于管理患者对潜在持续疼痛的期望至关重要.
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