Starling J R, Harms B A
World J Surg. 1989 Sep-Oct;13(5):586-91. doi: 10.1007/BF01658875.
During the past 8 years, a total of 36 patients were diagnosed as having either ilioinguinal or genitofemoral neuralgia. A multidisciplinary approach (surgeon, neurologist, anesthesiologist) as well as local blocks of the ilioinguinal nerve or paravertebral blocks of L1,2 were essential to determine which nerve was likely to be entraped. Seventeen of the 19 patients having a diagnosis of ilioinguinal neuralgia after previous inguinal herniorraphy were completely free of pain after resection of the entrapped portion of the nerve. Seventeen patients were diagnosed as having genitofemoral neuralgia after previous inguinal herniorraphy, blunt abdominal trauma, or another operation. Neurectomy of the genitofemoral nerve proximal to the entrapment controlled the persistent pain in 12 of 17 of these patients. Ilioinguinal or genitofemoral nerve entrapment neuralgias are rare complications of operations in the inguinal region. When the diagnosis is made by a multidisciplinary approach, neurectomy is frequently successful in relieving severe pain and paresthesias without serious morbidity.
在过去8年中，共有36例患者被诊断为患有髂腹股沟神经痛或生殖股神经痛。多学科方法（外科医生、神经科医生、麻醉科医生）以及髂腹股沟神经局部阻滞或L1、2椎旁阻滞对于确定可能受压的神经至关重要。19例既往腹股沟疝修补术后被诊断为髂腹股沟神经痛的患者中，17例在切除神经受压部分后完全无痛。17例患者在既往腹股沟疝修补术、腹部钝性创伤或其他手术后被诊断为生殖股神经痛。在这些患者中，17例中有12例在受压近端进行生殖股神经切除术可控制持续性疼痛。髂腹股沟或生殖股神经受压性神经痛是腹股沟区手术的罕见并发症。当通过多学科方法做出诊断时，神经切除术通常能成功缓解严重疼痛和感觉异常，且无严重并发症。
