慢性阴囊疼痛的金标准护理
Gold Standard Care of Chronic Scrotal Pain.
作者信息
Malaguti Stefan Artell, Lund Lars
机构信息
Department of Urology, Odense University Hospital, Odense, Denmark.
Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
出版信息
Res Rep Urol. 2021 May 24;13:283-288. doi: 10.2147/RRU.S278803. eCollection 2021.
INTRODUCTION
Chronic scrotal pain (CSP) can be a debilitating condition for patients and is often difficult to characterize.
METHODS
A review of literature was performed using Embase, Cochrane and Medline databases in the period 1.January 2010 to 1.January 2021. We found 132 articles, and the authors screened abstract and references. Thirty-seven articles are included after removing duplicates.
RESULTS
This review presents a variety of medical and surgical treatment options for CSP such as spermatic cord blocks (36-80% success rate), microsurgical denervation of the spermatic cord (76-100% success rates), Botox (56% success rate), targeted ilioinguinal and iliohypogastric peripheral nerve stimulation, and radical orchiectomy (55-75% success rate).
CONCLUSION
An overview of various treatment options, both non-surgical and surgical are provided, with the aim of establishing what may be the best treatment option for CSP.
引言
慢性阴囊疼痛（CSP）对患者而言可能是一种使人衰弱的病症，且往往难以明确其特征。
方法
利用Embase、Cochrane和Medline数据库对2010年1月1日至2021年1月1日期间的文献进行综述。我们找到了132篇文章，作者筛选了摘要和参考文献。去除重复项后纳入37篇文章。
结果
本综述介绍了多种针对CSP的药物和手术治疗方案，如精索阻滞（成功率36%-80%）、精索显微去神经术（成功率76%-100%）、肉毒杆菌毒素（成功率56%）、靶向髂腹股沟和髂腹下外周神经刺激，以及根治性睾丸切除术（成功率55%-75%）。
结论
提供了各种非手术和手术治疗方案的概述，目的是确定哪种方案可能是治疗CSP的最佳选择。
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