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精索显微去神经术治疗睾丸疼痛的应用。

The use of microsurgical denervation of the spermatic cord for orchialgia.

作者信息

Devine C J, Schellhammer P F

出版信息

Trans Am Assoc Genitourin Surg. 1978;70:149-51.

PMID:753015
Abstract

Orchialgia is a term that can only lead to confusion with regard to symptoms and etiology of the symptoms. It implies testicular discomfort or testicular pain that is intrascrotal. Testicular pain per se probably is appreciated in the lower abdomen and internal ring and not in the testicular body. Therefore, true orchialgia, namely testicular pain of unknown etiology, would be more appropriately described as lower abdominal pain (in the absence of any inflammatory ailments), which is worsened by testicular pressure or palpation. Treatment of the patient with orchialgia has been a difficult and often unrewarding clinical situation. Return to gainful activity without significant use of analgesics is the desired goal. Microsurgical testicular denervation has been used in 2 patients in an effort to achieve this goal without sacrifice of the testes.

摘要

睾丸痛是一个在症状及症状病因方面只会造成混淆的术语。它意味着阴囊内的睾丸不适或睾丸疼痛。睾丸疼痛本身可能在下腹部和内环处感觉到,而不是在睾丸实体部位。因此,真正的睾丸痛,即病因不明的睾丸疼痛,更恰当的描述应该是下腹部疼痛(在没有任何炎症性疾病的情况下),这种疼痛会因睾丸受压或触诊而加重。治疗睾丸痛患者一直是一种困难且往往没有成效的临床情况。不大量使用镇痛药而恢复有收益的活动是期望达到的目标。为了在不切除睾丸的情况下实现这一目标,已对2名患者采用了显微外科睾丸去神经术。

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The use of microsurgical denervation of the spermatic cord for orchialgia.精索显微去神经术治疗睾丸疼痛的应用。
Trans Am Assoc Genitourin Surg. 1978;70:149-51.
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Microsurgical denervation of the spermatic cord for chronic orchialgia: long-term results from a single center.精索显微外科去神经术治疗慢性睾丸痛:单中心长期结果
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Re: Microsurgical testicular denervation of the spermatic cord as primary surgical treatment of chronic orchialgia.回复:精索显微外科睾丸去神经术作为慢性睾丸疼痛的主要手术治疗方法
J Urol. 2001 Dec;166(6):2322-3.
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Microsurgical denervation of the spermatic cord as primary surgical treatment of chronic orchialgia.精索显微去神经术作为慢性睾丸痛的主要外科治疗方法。
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Trifecta nerve complex: potential anatomical basis for microsurgical denervation of the spermatic cord for chronic orchialgia. trifecta 神经复合体:精索慢性睾丸痛显微去神经术的潜在解剖学基础。
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Microsurgical denervation of the spermatic cord: a surgical alternative in the treatment of chronic orchialgia.精索显微去神经术:治疗慢性睾丸疼痛的一种手术选择。
J Urol. 1996 Mar;155(3):1005-7. doi: 10.1016/s0022-5347(01)66369-9.
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Preoperative Predictors of Failure of Microsurgical Spermatic Cord Denervation for Men With Chronic Orchialgia.慢性睾丸痛患者显微精索去神经术失败的术前预测因素。
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Re: Microsurgical denervation of the spermatic cord as primary surgical treatment of chronic orchialgia.回复:精索显微去神经术作为慢性睾丸痛的主要外科治疗方法
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[Microsurgical testicular spermatic cord denervation as therapy of chronic testicular pain].
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