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股外侧皮神经痛:过去腹腔镜手术曾是病因,如今则是治疗手段。

Meralgia paraesthetica: Laparoscopic surgery as a cause then and a cure now.

作者信息

Chopra Pradeep Jagdish, Shankaran Raj Kumar Jananiculum, Murugeshan Dilip Chander

机构信息

Department of Surgery, College of Medicine and Health Sciences, Muscat, Oman.

LifeLine Clinics and Multi Speciality Hospital No 47/3, Kilpauk, Chennai, Tamil Nadu, India.

出版信息

J Minim Access Surg. 2014 Jul;10(3):159-60. doi: 10.4103/0972-9941.134883.

DOI:10.4103/0972-9941.134883
PMID:25013335
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4083551/
Abstract

Meralgia Paraesthetica (MP) is a rare condition, in which the patient experiences a burning sensation along the distribution of the lateral femoral cutaneous nerve of the thigh, due to entrapment neuropathy at the lateral end of the inguinal ligament as it exits the pelvis. There are several causes of this condition including laparoscopic inguinal hernioplasty. Diagnosed clinically, intervention is indicated for failed conservative measures. We herewith report a patient with MP and symptomatic cholelithiasis, treated for both laparoscopically. This is the third reported case in the literature that has been treated laparoscopically.

摘要

股外侧皮神经痛(MP)是一种罕见病症,患者会在大腿外侧皮神经分布区域出现烧灼感,这是由于腹股沟韧带外侧端穿出骨盆时发生卡压性神经病变所致。该病症有多种病因,包括腹腔镜腹股沟疝修补术。通过临床诊断,对于保守治疗失败的情况需进行干预。我们在此报告一例同时患有股外侧皮神经痛和有症状胆结石的患者,二者均接受了腹腔镜治疗。这是文献中报道的第三例接受腹腔镜治疗的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/133f/4083551/3d0cfbca8e3c/JMAS-10-159-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/133f/4083551/90d58a4856e7/JMAS-10-159-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/133f/4083551/3d0cfbca8e3c/JMAS-10-159-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/133f/4083551/90d58a4856e7/JMAS-10-159-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/133f/4083551/3d0cfbca8e3c/JMAS-10-159-g002.jpg

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Meralgia paraesthetica: Laparoscopic surgery as a cause then and a cure now.股外侧皮神经痛:过去腹腔镜手术曾是病因,如今则是治疗手段。
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本文引用的文献

1
Laparoscopic relief of meralgia paraesthetica.腹腔镜下缓解感觉异常性股痛
Ann R Coll Surg Engl. 2011 Sep;93(6):491. doi: 10.1308/rcsann.2011.93.6.491.
2
Meralgia Paresthetica.股外侧皮神经炎。
Pain Pract. 2011 May-Jun;11(3):302-8. doi: 10.1111/j.1533-2500.2011.00458.x.
3
Meralgia paresthetica: diagnosis and management strategies.股外侧皮神经痛:诊断与管理策略
Pain Med. 2007 Nov-Dec;8(8):669-77. doi: 10.1111/j.1526-4637.2006.00227.x.
4
Management of groin hernias by laparoscopy.腹腔镜腹股沟疝修补术
World J Surg. 1993 Jan-Feb;17(1):46-50. doi: 10.1007/BF01655704.