在 inguinal 修复后,慢性 orchialgia 的手术治疗
Zachary N Weitzner1, Gabriel L Oland1, David C Chen2
1Department of Surgery, David Geffen School of Medicine at University of California, Los Angeles, CA, USA.
Surgical endoscopy
|November 25, 2024
概括
在经过量身定制的手术干预后,99%的患者的耳痛或 Hernia 修复后的丸疼痛显著改善. 大多数患者经历了50%以上的疼痛减轻,突出了这种并发症的有效补救策略.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
- 疼痛管理 疼痛管理
背景情况:
- 耳痛,或丸疼痛,是在 inguinal hernia 修复后的一种罕见但令人虚弱的并发症.
- 可能的原因包括精髓带创伤,网状炎症,血管损伤,纤维化或神经损伤.
- 它比 inguinodynia 不太常见,但可以严重使人衰弱.
研究的目的:
- 为了评估手术干预的疗效为 inguinodynia 与同时存在的 orchialgia.
- 确定针对患者量身定制的外科手术方法,以获得有利的结果.
- 评估 Hernia 后修复丸疼痛的潜在补救方案.
主要方法:
- 对173名接受手术治疗的成年患者进行了回顾性审查,这些患者因 inguinodynia 和 orchialgia 进行了手术 (2011年9月至2023年4月).
- 主要结局:术后报告的耳痛的百分比改善.
- 二次结果:手术方法,神经切除术类型,骨科切除术和补救手术.
主要成果:
- 99%的患者报告说,他们的耳痛有所改善.
- 64%的人经历了超过50%的疼痛改善.
- 常见的手术包括垂体神经切除术 (89.6%) 和手足神经切除术 (96%);14%的人接受了耳管切除术.
结论:
- 针对患者量身定制的手术方法有效地解决了 inguinal hernia 修复后的丸疼痛机制.
- 仔细评估耳痛的原因对于确定补救方案至关重要.
- 手术干预为患有慢性 Hernia 后修复丸疼痛的患者提供了良好的结果.
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