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腹腔镜完全腹膜外疝修补术与腹腔镜经腹膜前疝修补术对单纯性腹股沟疝患者腹股沟疼痛、性功能和生活质量的影响比较 被引量:6
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作者 李春雷 王泉兴 +1 位作者 翁剑青 徐张迎 《中国当代医药》 CAS 2022年第12期62-65,共4页
目的比较腹腔镜完全腹膜外疝修补术(TEP)和腹腔镜经腹膜前疝修补术(TAPP)对单纯性腹股沟疝患者腹股沟疼痛、性功能、生活质量的影响。方法选取2018年1月至2020年12月在无锡市锡山区中医医院普外科行腹腔镜腹股沟疝修补术治疗的88例单纯... 目的比较腹腔镜完全腹膜外疝修补术(TEP)和腹腔镜经腹膜前疝修补术(TAPP)对单纯性腹股沟疝患者腹股沟疼痛、性功能、生活质量的影响。方法选取2018年1月至2020年12月在无锡市锡山区中医医院普外科行腹腔镜腹股沟疝修补术治疗的88例单纯性腹股沟疝患者作为研究对象,采用计算机随机数字表法分为TEP组和TAPP组,各44例。TEP组患者行TEP,TAPP组患者行TAPP,比较两组患者术前和术后3、6个月性功能和生活质量以及术前和术后1、6、24 h,1周,1、3、6个月腹股沟疼痛评分。结果两组患者术后性功能及生活质量均高于术前,差异有统计学意义(P<0.05);TEP组和TAPP组性功能及生活质量评分比较,差异无统计学意义(P>0.05)。两组患者术后3、6个月腹股沟疼痛评分低于术前;TEP组术后6、24 h,1周,1个月腹股沟疼痛评分低于TAPP组,差异有统计学意义(P<0.05);TEP组与TAPP组术后1 h及3、6个月腹股沟疼痛评分比较,差异无统计学意义(P>0.05)。结论TEP和TAPP均可改善患者腹股沟慢性疼痛、性功能和生活质量,TEP组术后早期腹股沟疼痛评分低于TAPP组,两组患者在长期疗效方面无差异。 展开更多
关键词 腹腔镜 完全腹膜外疝修补术 经腹膜前疝修补术 腹股沟疼痛 性功能 生活质量
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腹股沟疼痛与低位腰椎间盘突出关系的探讨 被引量:6
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作者 杨卫新 昝云强 章稼 《中国临床康复》 CSCD 2002年第22期3424-3425,共2页
目的探讨低位腰椎间盘突出症患者腹股沟疼痛的临床特点和CT表现。方法319例L4~5和L5~S1单节段腰椎间盘突出的患者,其中34例有腹股沟疼痛,将其临床特点和CT表现与没有腹股沟疼痛的患者进行比较。结果腹股沟疼痛主要见于L4~5节段椎间... 目的探讨低位腰椎间盘突出症患者腹股沟疼痛的临床特点和CT表现。方法319例L4~5和L5~S1单节段腰椎间盘突出的患者,其中34例有腹股沟疼痛,将其临床特点和CT表现与没有腹股沟疼痛的患者进行比较。结果腹股沟疼痛主要见于L4~5节段椎间盘突出,疼痛程度为I~III级,有腹股沟疼痛的患者腰痛症状的发生率减少。结论L4~5节段椎间盘突出最可能发生腹股沟疼痛,窦椎神经可能是腹股沟疼痛的传入神经,部分患者的腹股沟疼痛可能被腰痛、臀部同等症状掩盖。 展开更多
关键词 腹股沟疼痛 低位腰椎间盘突出 CT 临床特点
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舒筋通络液离子导入治疗腰椎间盘源性腹股沟疼痛的临床观察 被引量:4
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作者 蒋盛昶 刘敏 +3 位作者 唐皓 张信成 仇湘中 陈坚 《中国中医骨伤科杂志》 CAS 2015年第8期26-28,共3页
目的:观察舒筋通络液离子导入治疗腰椎间盘源性腹股沟疼痛的临床疗效及安全性。方法:将60例腰椎间盘源性腹股沟疼痛患者随机分为治疗组和对照组各30例,治疗组予以基础治疗加舒筋通络液离子导入治疗,对照组予以基础治疗加温水离子导入治... 目的:观察舒筋通络液离子导入治疗腰椎间盘源性腹股沟疼痛的临床疗效及安全性。方法:将60例腰椎间盘源性腹股沟疼痛患者随机分为治疗组和对照组各30例,治疗组予以基础治疗加舒筋通络液离子导入治疗,对照组予以基础治疗加温水离子导入治疗,对比观察两组患者综合疗效、疼痛评分、JOA评分情况及不良反应,并进行统计分析。结果:治疗组综合疗效、疼痛评分及JOA评分改善情况明显优于对照组(P<0.01)。结论:采用舒筋通络液离子导入治疗腰椎间盘源性腹股沟疼痛安全、有效。 展开更多
关键词 椎间盘源性腰痛 腹股沟疼痛 舒筋通络液 临床观察
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Sports hernia and femoroacetabular impingement in athletes: A systematic review 被引量:2
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作者 Daniele Munegato Marco Bigoni +3 位作者 Giulia Gridavilla Stefano Olmi Giovanni Cesana Giovanni Zatti 《World Journal of Clinical Cases》 SCIE 2015年第9期823-830,共8页
AIM: To investigate the association between sports hernias and femoroacetabular impingement(FAI) in athletes.METHODS: Pub Med, MEDLINE, CINAHL, Embase, Cochrane Controlled Trials Register, and Google Scholar databases... AIM: To investigate the association between sports hernias and femoroacetabular impingement(FAI) in athletes.METHODS: Pub Med, MEDLINE, CINAHL, Embase, Cochrane Controlled Trials Register, and Google Scholar databases were electronically searched for articles relating to sports hernia, athletic pubalgia, groin pain, long-standing adductor-related groin pain, Gilmore groin, adductor pain syndrome, and FAI. The initial search identified 196 studies, of which only articles reporting on the association of sports hernia and FAI or laparoscopic treatment of sports hernia were selected for systematic review. Finally, 24 studies were reviewed to evaluate the prevalence of FAI in cases of sports hernia and examine treatment outcomes and evidence for a common underlying pathogenic mechanism.RESULTS: FAI has been reported in as few as 12% to as high as 94% of patients with sports hernias, athletic pubalgia or adductor-related groin pain. Cam-type impingement is proposed to lead to increased symphyseal motion with overload on the surrounding extra-articular structures and muscle, which can result in the development of sports hernia and athletic pubalgia. Laparoscopic repair of sports hernias, via either the transabdominal preperitoneal or extraperitoneal approach, has a high success rate and earlier recovery of full sports activity compared to open surgery or conservative treatment. For patients with FAI and sports hernia, the surgical management of both pathologies is more effective than sports pubalgia treatment or hip arthroscopy alone(89% vs 33% of cases). As sports hernias and FAI are typically treated by general and orthopedic surgeons, respectively, a multidisciplinary approach for diagnosis and treatment is recommended for optimal treatment of patients with these injuries.CONCLUSION: The restriction in range of motion due to FAI likely contributes to sports hernias; therefore, surgical treatment of both pathologies represents an optimal therapy. 展开更多
关键词 Athletic pubalgia groin pain LAPAROSCOPIC treatment Femoroacetabular IMPINGEMENT Sports HERNIA
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运动型疝的诊治 被引量:3
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作者 蔡轩 柏楠 毕敬涛 《中华疝和腹壁外科杂志(电子版)》 2018年第4期259-263,共5页
运动型疝常见于运动员群体,与其症状相近的鉴别诊断较多,故需要经过仔细的询问病史和客观查体及辅助检查才能做出诊断,核磁共振是最重要的辅助检查手段。在治疗方面,保守治疗已成为首选方案,特别是物理康复治疗。传统开放入路和腹腔镜... 运动型疝常见于运动员群体,与其症状相近的鉴别诊断较多,故需要经过仔细的询问病史和客观查体及辅助检查才能做出诊断,核磁共振是最重要的辅助检查手段。在治疗方面,保守治疗已成为首选方案,特别是物理康复治疗。传统开放入路和腹腔镜经腹腹膜前疝修补术、腹腔镜完全腹膜外疝修补术等手术治疗均安全有效,但各种术式的选择仍缺乏高级别临床证据指导。目前对于运动型疝的研究仍然在摸索阶段,其诊断和治疗尚未达成统一共识,仍需要大量的前瞻性临床试验研究提供依据。 展开更多
关键词 运动型疝 腹股沟 疼痛 腹腔镜
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Osteitis pubis in elite athletes:Diagnostic and therapeutic approach
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作者 Antonios G Angoules 《World Journal of Orthopedics》 2015年第9期672-679,共8页
Osteitis pubis(OP) is a debilitating overuse syndrome characterizing by pelvic pain and local tenderness over the pubic symphysis commonly encountered in athletes often involved in kicking, twisting and cutting activi... Osteitis pubis(OP) is a debilitating overuse syndrome characterizing by pelvic pain and local tenderness over the pubic symphysis commonly encountered in athletes often involved in kicking, twisting and cutting activities in sports such as soccer and rugby and to a lesser degree distance running. It is a common source of groin pain in elite athletes attributable to pubis sympysis instability as the result of microtrauma caused by repetitive muscle strains on pubic bones. Diagnosis is based mainly on detailed sports history and a meticulous clinical examination, although occasionally is difficult to distinguish this nosological entity from other pathologies affecting the involved area which may occur concomitantly in the same patient. Radiologic examinations such as plain radiographs, magnetic resonance imaging and 3 phase bone isotope scanning may be helpful to differentiate from other clinical entities with similar clinical presentation. Most cases respond well to conservative treatment which includes several physical modalities and especially a progressive rehabilitation programmed individualized to each one of patients diagnosed with OP. Local injection therapies have been also been proposed as a non-operative therapeutic option for the efficient management of these patients. In refractory cases, surgical therapeutic strategies are warranted. These include several open or minimally invasive surgical interventions such as arthroscopic or open symphysis curettage, wedge or total resection of pubic sympysis, polypropylene mesh placement and pubic fusion. In this review a critical analysis of OP in elite athletes is performed with special focus on current concepts of diagnosis and management of this source of athletic groin pain. 展开更多
关键词 OSTEITIS PUBIS groin pain Sports OVERUSE INJURIES CONSERVATIVE management Surgery
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过度截石体位对TVT-O术后腹股沟疼痛症状的影响
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作者 姬彤宇 杜涛 李长健 《医药论坛杂志》 2017年第12期34-35,共2页
目的探讨过度截石体位能否减轻TVT-O术后腹股沟疼痛症状。方法选择2015年3月至2016年8月间在河南省人民医院泌尿外科确诊为压力性尿失禁并行TVT-O手术患者37例,术中随机选择一侧下肢呈过度截石位,对侧呈普通截石位,术后第1天使用VAS国... 目的探讨过度截石体位能否减轻TVT-O术后腹股沟疼痛症状。方法选择2015年3月至2016年8月间在河南省人民医院泌尿外科确诊为压力性尿失禁并行TVT-O手术患者37例,术中随机选择一侧下肢呈过度截石位,对侧呈普通截石位,术后第1天使用VAS国际疼痛评分对患者腹股沟疼痛症状进行评估,所得数据分为过度截石位组与普通截石位组,两组数据进行配对t检验以判断统计学差异。结果过度截石位组疼痛评分均数为(1.24±1.21),普通截石位组疼痛评分均数为(1.30±1.02),P>0.05,两组评分差异无统计学意义。结论过度截石位与普通截石位相比,不能减轻TVT-O术后腹股沟疼痛症状。 展开更多
关键词 TVT-O 腹股沟疼痛 过度截石位
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无张力疝修补术后慢性腹股沟痛 被引量:12
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作者 李俊 《中国实用外科杂志》 CSCD 北大核心 2012年第6期499-501,共3页
慢性腹股沟痛是腹股沟无张力疝修补术后的潜在并发症,明显影响生活质量[1]。其发生率为0~62.9%,其中10%的病人为中、重度疼痛,2%~4%的病人影响日常生活。这是目前疝外科医师关注且需要解决的问题[2]。
关键词 无张力疝修补术 慢性腹股沟痛
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Current trends in the diagnosis and management of post-herniorraphy chronic groin pain 被引量:3
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作者 Abdul Hakeem Venkatesh Shanmugam 《World Journal of Gastrointestinal Surgery》 SCIE CAS 2011年第6期73-81,共9页
Inguinodynia(chronic groin pain) is one of the recognised complications of the commonly performed Lichtenstein mesh inguinal hernia repair.This has major impact on quality of life in a significant proportion of patien... Inguinodynia(chronic groin pain) is one of the recognised complications of the commonly performed Lichtenstein mesh inguinal hernia repair.This has major impact on quality of life in a significant proportion of patients.The pain is classif ied as neuropathic and nonneuropathic related to nerve damage and to the mesh,respectively.Correct diagnosis of this problem is relatively difficult.A thorough history and clinical examination are essential,as is a good knowledge of the groin nerve distribution.In spite of the common nature of the problem,the literature evidence is limited.In this paper we discuss the diagnostic tools and treatment options,both non-surgical and surgical.In addition,we discuss the criteria for surgical intervention and its optimal timing. 展开更多
关键词 HERNIA LICHTENSTEIN repair Chronic groin pain Inguinodynia NEUROPATHIC pain NEURECTOMY Nerve block
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腹股沟疝术后顽固性疼痛的处理 被引量:7
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作者 毕建威 张少波 +1 位作者 魏国 聂明明 《外科理论与实践》 2002年第6期459-461,共3页
探讨疝修补术后顽固性疼痛的原因和手术治疗方式。方法:分析1998~2001年我院收治的8例腹股沟疝修补术后疼痛病人的临床资料,结合文献进行讨论。结果:1例病人经神经阻滞治疗后缓解;2例行单纯神经松解,2例行痛点局部疤痕切除,1例行翻转... 探讨疝修补术后顽固性疼痛的原因和手术治疗方式。方法:分析1998~2001年我院收治的8例腹股沟疝修补术后疼痛病人的临床资料,结合文献进行讨论。结果:1例病人经神经阻滞治疗后缓解;2例行单纯神经松解,2例行痛点局部疤痕切除,1例行翻转无张力补片部分修剪,2例行髂前上棘内侧髂腹股沟、髂腹下神经部分切除,术后疼痛均缓解。结论:疝修补术后出现顽固性疼痛的常见原因为神经被缝扎或补片移位压迫或被纤维粘连牵扯等;手术方式应个体化,结合术前疼痛特点及术中探查情况,合理选择神经松解、疤痕切除、翻转补片部分修剪及神经切除等方式,可避免盲目切除神经带来的严重后果和疝的复发。 展开更多
关键词 腹股沟疝 术后 顽固性疼痛 外科治疗
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