Harms B A, DeHaas D R, Starling J R
Arch Surg. 1984 Mar;119(3):339-41. doi: 10.1001/archsurg.1984.01390150071017.
Genitofemoral neuralgia is a syndrome characterized by chronic pain and paresthesia in the region of genitofemoral nerve distribution. Genitofemoral nerve entrapment has been described after inguinal herniorrhaphy, appendectomy, and cesarean section. Failure to distinguish it from ilioinguinal nerve entrapment can result in unnecessary inguinal reexploration, or patients severely debilitated from chronic pain. We recommend that patients with persistent pain and paresthesia in the inguinal region following surgery should have a local ilioinguinal nerve block. If this is unsuccessful in affecting relief of symptoms, a paravertebral block of L-1 and L-2 should be considered. Using these two blocks, a rational decision can then be made to operate on either the ilioinguinal nerve or the genitofemoral nerve. We describe three cases of genitofemoral neuralgia treated by extraperitoneal excision of the genitofemoral nerve.
股神经痛是一种以股神经分布区域的慢性疼痛和感觉异常为特征的综合征。腹股沟疝修补术、阑尾切除术和剖宫产术后均有股神经卡压的报道。未能将其与髂腹股沟神经卡压区分开来可能导致不必要的腹股沟再次探查，或使患者因慢性疼痛而严重衰弱。我们建议，手术后腹股沟区持续疼痛和感觉异常的患者应进行局部髂腹股沟神经阻滞。如果这不能成功缓解症状，则应考虑对L-1和L-2进行椎旁阻滞。通过这两种阻滞，可以合理决定对髂腹股沟神经或股神经进行手术。我们描述了3例通过腹膜外切除股神经治疗的股神经痛病例。
