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问:痛性结节为输精管结扎术常见并发症,请问如何预防及治疗? 白文俊副教授: 输精管结扎术后3～6个月以上,患者自诉手术部位疼痛,检查结扎结节较大,且有触痛者称为痛性结节、此系输精管结扎术后常见的并发症之一,国内统计发生率为0.47％～0.73％,左侧多于右侧。 目前对痛性结节的成因看法不一,但大致认为与以下因素有关:①分离输精管时创伤大,周围组织被一并结扎.或输精管未复位,术后移位粘连,瘢痕形成;②结扎线过粗过多,异物反应大,异物肉芽肿形成;③结扎残端有血肿,机化后形成粘连块;④输精管残端感染,结扎处有脓肿形成或炎性坏死组织;
Q: painful nodules for the common complications of vasectomy, how to prevent and treat? Associate Professor Bai Wenjun: vasectomy after 3 to 6 months, the patient complained of pain in the surgical site, check the larger nodules, and there Pain known as painful nodules, this is a common complication after vasectomy, the incidence of domestic statistics was 0.47% ~ 0.73%, more on the left than the right. The current view of the causes of painful nodules, but generally considered to be related to the following factors: ① separation of the vasectomy trauma, the surrounding tissue was ligation or vas deferens is not reset, postoperative adhesions, scar formation; ② ligation Too much line too much foreign body reaction, foreign body granuloma formation; ③ ligature stump hematoma, machine to form an adhesion block; ④ vas deferens stump infection, ligation at the abscess formation or inflammatory necrosis;