【摘要】 慢性睾丸痛是泌尿男科的常见疾病,其病因复杂、诊断困难、治疗棘手。依据不同的病因,慢性睾丸痛可分为特发性和继发性,特发性慢性睾丸痛约占慢性睾丸痛的50%,其可能与精索神经的华勒变性及外周致敏有关;继发性慢性睾丸痛能找到引起疼痛的直接病因,治疗主要针对解决原发病进行。目前治疗慢性睾丸痛的主要方法包括保守治疗和手术治疗,其中显微精索去神经术是一微创、有效的治疗慢性睾丸痛的手术方法,而睾丸切除术应当作为不得已的治疗手段。更多还原

【Abstract】 Chronic orchialgia( CO) is a common complaint in urology or andrology. Due to its complicated pathogenesis,the diagnosis and treatment of CO are quite challenging. Based on different etiologies,CO can be idiopathic or secondary. Idiopathic CO accounts for approximately 50% of the cases and is probably associated with Wallerian degeneration in the spermatic cord nerves and peripheral sensitization. Secondary CO can be attributed to direct causes and its treatment focuses on the pathologic condition identified. The main methods for the treatment of CO include conservative and surgical strategies,among which microsurgical spermatic cord denervation( MSCD) is an effective and minimally invasive option,while orchiectomy is but the last alternative when no other means is left.更多还原