脊柱切除术是慢性脊柱疼痛的有效治疗方法
Renee M Cole1, Juan J Andino2, Stephanie Daignault-Newton1
1Department of Urology, University of Michigan, Ann Arbor, Michigan.
Urology practice
|January 16, 2024
概括
在72%精心挑选的男性中,膜切除术有效地缓解了慢性阴囊疼痛. 这种手术对那些有不到一年的焦点上皮层疼痛,没有精神疾病或之前手术的病史的人来说最成功.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 外科手术的结果
- 疼痛管理 疼痛管理
背景情况:
- 慢性阴囊疼痛带来了重大管理挑战.
- 脊柱膜切除术为特定情况下的脊柱膜疼痛提供了潜在的治疗方法.
研究的目的:
- 为了评估 epididymectomy 对局部性阴囊疼痛的疗效.
- 为了识别影响 epididymectomy 后疼痛缓解的因素.
主要方法:
- 对225名因焦点膜疼痛而经历了膜切除术 (2000-2020年) 的男性进行了回顾性分析.
- 主要结局:疼痛的变化 (治愈/改善与没有变化/恶化).
- 多变量逻辑回归评估了疼痛持续时间,手术和精神病史的影响.
主要成果:
- 总的来说,72%的患者报告说,在经过瘤切除术后疼痛有所改善.
- 疼痛持续时间≥1年,精神疾病和之前的非血管切除手术降低了疼痛缓解的几率.
- 血管切除病史没有显著影响结果.
结论:
- 在经过仔细查的患有焦点膜疼痛的男性中,膜切除术在72%有效.
- 最佳候选人有<1年的疼痛,没有精神疾病史或之前的广泛手术.
- 这项研究代表了对术后瘤切除术结果的最大综述.
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