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输精管结扎手术因简便、安全、有效、目前仍是一种普遍采用的绝育方法。术后个别受术者发生的痛性结节(简称痛节),大致可分为感染型和非感染型两类。过去多采用药物治疗,效果不够理想。近一年多来,我们对15例炎性痛节病人采用病人痛节内病灶清除术,经过1年多的观察,术后效果较好,现介绍如下。 15例受术者中,发病时间1年以上4人,半年以上6人,半年以内5人,术前曾用中西药长期治疗,效果不佳。 手术指征:输精管结扎术后,结扎处出现结节,直径超过1cm,表面欠光滑,有压痛或明显压痛,经抗生素,磺胺类及中草药治疗有一定疗效,但停药或劳动后,结节又增大疼痛。
Vasectomy because of simple, safe and effective, is still a commonly used method of sterilization. Postoperative pain occurred by the individual nodules (referred to as the pain section), can be divided into two types of infectious and non-infectious. In the past to use more drug treatment, the effect is not ideal. In the past year or so, we used 15 cases of patients with inflammatory pain in patients with intralesional painful removal of the disease, after more than 1 year of observation, the effect is better, are described below. Among the 15 patients, the onset time was more than 1 year, 4, more than 6 months, 5 within 6 months. Long-term treatment with traditional Chinese medicine and western medicine was performed preoperatively, and the effect was poor. Surgical indications: vasectomy, ligation nodules, more than 1cm in diameter, the surface is not smooth, tender or obvious tenderness, antibiotics, sulfonamides and Chinese herbal medicine treatment has a certain effect, but after withdrawal or labor, nodules Increased pain.