目的:探讨男性绝育术后并发痛性结节的病因和治疗方法。方法:对在我站就诊的46例男性绝育术后并发痛结节的患者,经确诊后给予心理治疗,配合药物、局封、物理及手术治疗。结果:经治疗痊愈44例,好转2例。结论:输精管绝育术后并发痛性结节,多数与术前宣传教育不够,适应证与禁忌证把关不严,更重要的是手术操作欠妥以及与心理因素有关。治疗方面:在心理干预下,酌情保守治疗或行手术治疗均可达到良好的治疗效果。 Objective: To investigate the etiology and treatment of painful nodules after male sterilization. Methods: Forty-six patients with painful nodules who had undergone nephrectomy in our hospital were treated with psychotherapy after the diagnosis, with medication, prescription, physical and surgical treatment. Results: After treatment, 44 cases were cured, 2 cases improved. CONCLUSIONS: Painful nodules after vasectomy are usually not associated with preoperative publicity and education. Indications and contraindications are not rigorous. More importantly, surgical procedures are inadequate and related to psychological factors. Treatment: Psychological intervention, as appropriate, conservative treatment or surgical treatment can achieve good therapeutic effect.