椎间盘源性睾丸疼痛的中西医发病机制与治疗进展

Pathogenesis and treatment of intervertebral disc-originated testicular pain in traditional Chinese and Western medicine:An update

睾丸疼痛的原因复杂,椎间盘退变是导致睾丸疼痛的一个不可忽视的原因。在临床实践中,椎间盘源性睾丸疼痛往往未能获得医生的充分关注,从而导致误诊或漏诊。为了提高临床医生对此问题的认识,并为寻找不明原因睾丸疼痛的诊治策略提供参考,本文综述了椎间盘源性睾丸疼痛的中西医发病机制及治疗进展。中医认为,椎间盘源性睾丸疼痛的病机可能与外感寒湿、湿热侵犯阴器、气血凝滞等有关,且与肝、肾、督脉密切相关;西医则认为其发病机制可能与神经根刺激、神经根嵌压症、沃勒变性、牵涉痛和神经高敏感性等因素有关。

Of the complex causes of testicular pain,intervertebral disc degeneration is a nonnegligible one,which,however,often fails to get sufficient attention from doctors in clinical practice and consequently leads to misdiagnosis or missed diagnosis.This paper presents an overview of the pathogenesis and treatment of intervertebral disc-induced testicular pain in traditional Chinese and Western medicine,aiming to improve clinicians'understanding of this problem and provide some reference for the diagnosis and treatment of unexplained testicular pain.According to traditional Chinese medicine,the pathogenesis of intervertebral disc-induced testicular pain may be associated with exogenous cold and dampness,damp-heat invasion of Yin organs,qi and blood stagnation,and closely related to the liver,kidney and governor meridian.Western medicine believes that its pathogenesis may be related to nerve root stimulation,nerve root entrapment,Waller degeneration,referred pain,nerve hypersensitivity and other factors.