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输精管结扎术后,常遇到结扎部位遗留大小不等的硬结,有些硬结伴有顽固的疼痛,造成患者食欲减退,消瘦乏力、性欲减退、阳萎、失眠等神经官能症症状,甚至不能工作。输精管痛性结节是输精管结扎术后的主要并发症,占术后并发症的1/4。其病因国内刘国振认为主要是手术操作不够细致轻巧,剥离输精管时损伤了附近纤细的血管和神经,或结扎时连带了输精管以外的纤维组织所引起。叶成通等报告了21例输精管结扎后痛性结节,17例均发现有神经纤维包埋到结扎残端之中。在冶疗方面方法较多,如普鲁长因加醋酸氢化可的松局部封闭、单纯抗生素局部注射或敷贴中药等。经各种非手术疗法无效者,多数学者主张手术切除硬结,再扎或吻
Vasectomy, often encountered in ligation sites left unequal size induration, and some stiff with stubborn pain, causing patients with loss of appetite, weight loss, loss of libido, impotence, insomnia and other symptoms of neurosis, and even can not work. Vas deferens painful nodules are the main complications after vasectomy, accounting for 1/4 of postoperative complications. The cause of the domestic Liu Guizhen that the main surgical operation is not detailed and lightweight, stripping the vas deferens damage near the slender blood vessels and nerves, or ligation of vas deferens associated with other than the fibrous tissue caused. Ye Cheng Tong et al reported 21 cases of vocal nodules after vasectomy, 17 cases were found to have nerve fibers embedded in the ligation of the stump. In the treatment of more methods, such as Prussian hydrogenated hydrocortisone due to local closure, local injection of antibiotics alone or the application of traditional Chinese medicine. After a variety of non-surgical treatment ineffective, most scholars advocate surgical removal of induration, re-tie or kiss