精索显微去神经术：治疗慢性睾丸疼痛的一种手术选择。
Microsurgical denervation of the spermatic cord: a surgical alternative in the treatment of chronic orchialgia.
作者信息
Levine L A, Matkov T G, Lubenow T R
机构信息
Department of Urology, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois 60612, USA.
出版信息
J Urol. 1996 Mar;155(3):1005-7. doi: 10.1016/s0022-5347(01)66369-9.
PURPOSE
We demonstrated effective treatment of chronic orchialgia by microsurgical denervation of the spermatic cord.
MATERIALS AND METHODS
Seven men with a history of chronic orchialgia (mean duration 16.6 months) underwent this surgical procedure after conservative treatment failed. A bupivacaine spermatic cord block resulted in temporary pain relief.
RESULTS
There was an excellent correlation between the response to preoperative temporary cord nerve block and the surgical result. Six men had complete and permanent pain relief after surgery. One patient with bilateral orchialgia had complete unilateral relief and partial relief on the contralateral side. There was no complaint of postoperative regional hypoesthesia.
CONCLUSIONS
Microsurgical denervation of the spermatic cord is an effective testicular sparing surgical alternative for the treatment of chronic orchialgia.
目的
我们通过精索显微去神经术证明了对慢性睾丸疼痛的有效治疗。
材料与方法
7名有慢性睾丸疼痛病史（平均病程16.6个月）的男性在保守治疗失败后接受了该手术。布比卡因精索阻滞可使疼痛暂时缓解。
结果
术前临时精索神经阻滞的反应与手术结果之间存在极好的相关性。6名男性术后疼痛完全且永久缓解。1名双侧睾丸疼痛患者一侧完全缓解，对侧部分缓解。术后无区域感觉减退的主诉。
结论
精索显微去神经术是一种有效的保留睾丸的手术方法，可用于治疗慢性睾丸疼痛。
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