一(yi)、睪丸疼痛的(de)病因(yin)在哪里
睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)炎睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)炎是(shi)睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)疼(teng)痛(tong)(tong)(tong)的(de)常見(jian)原(yuan)因(yin)。引(yin)起睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)炎的(de)原(yuan)因(yin)非常多，如流行性(xing)(xing)腮腺炎患(huan)(huan)者，可(ke)并發(fa)睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)炎，出(chu)現(xian)睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)疼(teng)痛(tong)(tong)(tong)、腫(zhong)大(da)；淋(lin)病(bing)；淋(lin)病(bing)是(shi)目(mu)前發(fa)病(bing)率最(zui)高的(de)性(xing)(xing)傳播疾病(bing)，嚴(yan)重(zhong)時(shi)可(ke)引(yin)起睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)炎，出(chu)現(xian)睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)疼(teng)痛(tong)(tong)(tong)、腫(zhong)大(da)；慢性(xing)(xing)前列(lie)腺炎也(ye)可(ke)引(yin)起睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)疼(teng)痛(tong)(tong)(tong)，表現(xian)為(wei)(wei)單側疼(teng)痛(tong)(tong)(tong)，多為(wei)(wei)鈍痛(tong)(tong)(tong)或(huo)牽拉(la)痛(tong)(tong)(tong)，呈持(chi)續性(xing)(xing)，前列(lie)腺液顯微鏡(jing)檢查可(ke)見(jian)大(da)量白細胞，患(huan)(huan)者多為(wei)(wei)青壯(zhuang)年(nian)，老年(nian)人少見(jian)。睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)扭(niu)轉睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)扭(niu)轉是(shi)陰囊(nang)內(nei)常見(jian)急癥(zheng)之(zhi)一(yi)。自(zi)新生兒至70歲老人都可(ke)發(fa)生，65%發(fa)生于12—19歲，一(yi)般(ban)發(fa)病(bing)前幾小(xiao)時(shi)有劇(ju)烈活(huo)動，或(huo)睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)受過外力。睡(shui)眠或(huo)安(an)靜時(shi)忽然發(fa)生睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)劇(ju)烈疼(teng)痛(tong)(tong)(tong)，這(zhe)是(shi)此病(bing)首發(fa)的(de)癥(zheng)狀，也(ye)是(shi)其(qi)(qi)主要診斷(duan)依(yi)據(ju)之(zhi)一(yi)，部分病(bing)人伴有惡心(xin)嘔吐、陰囊(nang)腫(zhong)脹、觸(chu)痛(tong)(tong)(tong)明顯。對(dui)于懷疑或(huo)不(bu)能排除(chu)睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)扭(niu)轉的(de)患(huan)(huan)者，應及早手術探(tan)查，復位(wei)固定(ding)，以(yi)便拯救睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)，保護生精功(gong)能。一(yi)般(ban)認為(wei)(wei)，對(dui)睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)扭(niu)轉6小(xiao)時(shi)以(yi)內(nei)處理者，睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)拯救率可(ke)達80%，24小(xiao)時(shi)后處理者，其(qi)(qi)拯救率僅為(wei)(wei)20%，此時(shi)睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)即使(shi)能夠(gou)保留，其(qi)(qi)患(huan)(huan)側睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)功(gong)能往(wang)(wang)往(wang)(wang)受到損壞。睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)損傷(shang)睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)在陰囊(nang)內(nei)的(de)活(huo)動性(xing)(xing)較大(da)，且(qie)(qie)有堅(jian)韌(ren)的(de)白膜保護，發(fa)生閉合性(xing)(xing)損傷(shang)的(de)機會較小(xiao)，睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)損傷(shang)大(da)多與遭受暴力、車禍等有關。受傷(shang)后睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)劇(ju)烈疼(teng)痛(tong)(tong)(tong)件惡心(xin)、嘔吐，甚至發(fa)生昏厥或(huo)休克(ke)，體(ti)檢時(shi)有睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)腫(zhong)脹、輪廓不(bu)清或(huo)陰囊(nang)瘀(yu)血，壓痛(tong)(tong)(tong)明顯，B超和CT不(bu)但(dan)有助于本病(bing)的(de)診斷(duan)，而且(qie)(qie)可(ke)明確(que)睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)損傷(shang)的(de)部位(wei)和范(fan)圍(wei)。睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)損傷(shang)的(de)治療(liao)(liao)原(yuan)則首先(xian)是(shi)鎮靜、止痛(tong)(tong)(tong)、抗休克(ke)，其(qi)(qi)次(ci)是(shi)根(gen)據(ju)體(ti)檢、B超或(huo)CT所(suo)見(jian)及測(ce)得的(de)睪(gao)(gao)(gao)(gao)(gao)酮、LH、FSH值來判定(ding)睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)損傷(shang)程(cheng)度，從而采取不(bu)同的(de)治療(liao)(liao)措施。稍微損傷(shang)可(ke)采用保守(shou)治療(liao)(liao)，重(zhong)者爭取在24小(xiao)時(shi)內(nei)手術探(tan)查。對(dui)睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)外傷(shang)后繼發(fa)性(xing)(xing)激素水平低下者，可(ke)用男性(xing)(xing)激素補充治療(liao)(liao)或(huo)施行同種(zhong)睪(gao)(gao)(gao)(gao)(gao)丸(wan)(wan)(wan)(wan)(wan)(wan)移植，以(yi)維(wei)持(chi)其(qi)(qi)男性(xing)(xing)特性(xing)(xing)及改善其(qi)(qi)性(xing)(xing)功(gong)能。
二(er)、治療睪丸疼痛的(de)幾個小偏方
睪(gao)丸(wan)(wan)炎(yan)是男(nan)科(ke)常見多發病之一，其發病率約(yue)(yue)占12％-18％。臨床上(shang)分為(wei)急性(xing)和(he)(he)慢性(xing)兩(liang)種，其中(zhong)急性(xing)者(zhe)(zhe)(zhe)(zhe)又(you)主要有急性(xing)化膿性(xing)睪(gao)丸(wan)(wan)炎(yan)和(he)(he)腮(sai)腺炎(yan)性(xing)睪(gao)丸(wan)(wan)炎(yan)兩(liang)種，其中(zhong)以急性(xing)化膿性(xing)睪(gao)丸(wan)(wan)炎(yan)為(wei)多見。1 ．生(sheng)姜治睪(gao)丸(wan)(wan)痛【方(fang)(fang)劑】 生(sheng)姜1塊（以肥(fei)大老(lao)者(zhe)(zhe)(zhe)(zhe)為(wei)佳）。【制用(yong)(yong)法(fa)】 將(jiang)上(shang)藥用(yong)(yong)水洗凈，橫切成(cheng)約(yue)(yue)0.2cm 厚(hou)的均(jun)(jun)勻(yun)薄片(pian)，每(mei)次用(yong)(yong)6 -10片(pian)外敷于患側(ce)陰囊，并蓋上(shang)紗布換1次，直至痊愈(yu)(yu)(yu)為(wei)止。2 ．川紅丹參湯治睪(gao)丸(wan)(wan)痛【方(fang)(fang)劑】 白芍50-60克，木通(tong)、枳(zhi)實、川牛膝、紅花、桃仁、丹參各(ge)15-20克，茯苓、車(che)前子、青皮、生(sheng)甘草各(ge)10-15克。【制用(yong)(yong)法(fa)】 將(jiang)上(shang)藥水煎，每(mei)日l劑，分3次口服(fu)。【驗證】 用(yong)(yong)本方(fang)(fang)治療皋丸(wan)(wan)痛患者(zhe)(zhe)(zhe)(zhe)91例，均(jun)(jun)獲治愈(yu)(yu)(yu)。其中(zhong)，1劑治愈(yu)(yu)(yu)者(zhe)(zhe)(zhe)(zhe)25例；2劑治愈(yu)(yu)(yu)者(zhe)(zhe)(zhe)(zhe)34例；3劑治愈(yu)(yu)(yu)者(zhe)(zhe)(zhe)(zhe)21例；4劑治愈(yu)(yu)(yu)者(zhe)(zhe)(zhe)(zhe)11例。
三、睪丸疼痛帶來(lai)的危害在(zai)哪里
1、睪(gao)(gao)(gao)丸(wan)疼(teng)(teng)痛(tong)(tong)會(hui)(hui)影響到男(nan)性(xing)(xing)(xing)(xing)的(de)(de)性(xing)(xing)(xing)(xing)功(gong)能(neng)，如陽痿、早(zao)泄，嚴(yan)重的(de)(de)話使男(nan)性(xing)(xing)(xing)(xing)完全的(de)(de)喪失性(xing)(xing)(xing)(xing)功(gong)能(neng)，給(gei)夫妻(qi)生活造成(cheng)一定的(de)(de)困難。2、由睪(gao)(gao)(gao)丸(wan)炎導(dao)致(zhi)的(de)(de)睪(gao)(gao)(gao)丸(wan)疼(teng)(teng)痛(tong)(tong)時(shi)(shi)(shi)，會(hui)(hui)改變(bian)(bian)精(jing)(jing)(jing)子(zi)的(de)(de)生存環境，出(chu)(chu)(chu)現死(si)精(jing)(jing)(jing)癥(zheng)(zheng)，引發男(nan)性(xing)(xing)(xing)(xing)不(bu)育癥(zheng)(zheng)。夫妻(qi)行房事的(de)(de)時(shi)(shi)(shi)候會(hui)(hui)把病(bing)菌(jun)傳(chuan)染給(gei)妻(qi)子(zi)，導(dao)致(zhi)妻(qi)子(zi)有婦科(ke)病(bing)。3、睪(gao)(gao)(gao)丸(wan)疼(teng)(teng)痛(tong)(tong)如果遲(chi)遲(chi)得不(bu)到治(zhi)療，容(rong)易造成(cheng)男(nan)性(xing)(xing)(xing)(xing)精(jing)(jing)(jing)腎虧(kui)損(sun)，加上背疼(teng)(teng)腰酸(suan)，肢(zhi)體(ti)出(chu)(chu)(chu)現嚴(yan)寒，甚至是提早(zao)衰老的(de)(de)癥(zheng)(zheng)狀(zhuang)。睪(gao)(gao)(gao)丸(wan)炎危(wei)害1、精(jing)(jing)(jing)損(sun)腎虧(kui)早(zao)衰：附(fu)(fu)睪(gao)(gao)(gao)炎若久治(zhi)不(bu)愈易造成(cheng)精(jing)(jing)(jing)損(sun)腎虧(kui)，元氣耗(hao)損(sun)，肢(zhi)體(ti)畏寒，腰酸(suan)背疼(teng)(teng)，提早(zao)衰老。2、喪失生育能(neng)力：附(fu)(fu)睪(gao)(gao)(gao)炎還(huan)(huan)可(ke)導(dao)致(zhi)死(si)精(jing)(jing)(jing)、無(wu)精(jing)(jing)(jing)、喪失生育能(neng)力、并且(qie)將(jiang)炎性(xing)(xing)(xing)(xing)病(bing)菌(jun)傳(chuan)染給(gei)配偶，造成(cheng)婦科(ke)疾(ji)(ji)病(bing)，給(gei)妻(qi)子(zi)帶(dai)來(lai)巨(ju)大傷害。3、誘發危(wei)險疾(ji)(ji)病(bing)：附(fu)(fu)睪(gao)(gao)(gao)炎易誘發各種嚴(yan)重疾(ji)(ji)病(bing)：如精(jing)(jing)(jing)索靜脈曲張、靜索炎、前列(lie)腺炎、內分泌(mi)(mi)疾(ji)(ji)病(bing)、腎炎等腎臟疾(ji)(ji)病(bing)、泌(mi)(mi)尿感染疾(ji)(ji)病(bing)、嚴(yan)重時(shi)(shi)(shi)可(ke)導(dao)致(zhi)惡性(xing)(xing)(xing)(xing)腫瘤，嚴(yan)重威脅男(nan)人生命。4、可(ke)致(zhi)性(xing)(xing)(xing)(xing)功(gong)能(neng)喪失：附(fu)(fu)睪(gao)(gao)(gao)長期受炎癥(zheng)(zheng)刺激會(hui)(hui)變(bian)(bian)硬，在(zai)性(xing)(xing)(xing)(xing)生活達到射精(jing)(jing)(jing)高(gao)潮時(shi)(shi)(shi)，附(fu)(fu)睪(gao)(gao)(gao)及輸精(jing)(jing)(jing)管排精(jing)(jing)(jing)收縮，出(chu)(chu)(chu)現疼(teng)(teng)痛(tong)(tong)，有時(shi)(shi)(shi)疼(teng)(teng)痛(tong)(tong)在(zai)同(tong)房后還(huan)(huan)會(hui)(hui)持續一段時(shi)(shi)(shi)間。
四、男性睪丸(wan)疼痛的常(chang)見分類是什(shen)么
急性(xing)(xing)睪(gao)(gao)(gao)丸(wan)疼(teng)(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)(tong)(tong)睪(gao)(gao)(gao)丸(wan)炎和睪(gao)(gao)(gao)丸(wan)損(sun)傷是引(yin)(yin)起(qi)(qi)急性(xing)(xing)睪(gao)(gao)(gao)丸(wan)疼(teng)(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)(tong)(tong)的(de)(de)(de)常見因素。睪(gao)(gao)(gao)丸(wan)炎時(shi)，睪(gao)(gao)(gao)丸(wan)腫(zhong)大疼(teng)(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)(tong)(tong)，患(huan)(huan)者體(ti)溫(wen)增(zeng)高、怕(pa)冷、嘔(ou)吐、頭痛(tong)(tong)(tong)(tong)(tong)及小腹疼(teng)(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)(tong)(tong)。睪(gao)(gao)(gao)丸(wan)損(sun)傷一(yi)般由外(wai)傷引(yin)(yin)起(qi)(qi)，劇烈運動或(huo)房事、暴力有(you)時(shi)可(ke)(ke)引(yin)(yin)起(qi)(qi)提(ti)睪(gao)(gao)(gao)肌的(de)(de)(de)強烈收(shou)縮，使(shi)睪(gao)(gao)(gao)丸(wan)發(fa)(fa)生扭轉并(bing)引(yin)(yin)起(qi)(qi)劇痛(tong)(tong)(tong)(tong)(tong)。急性(xing)(xing)睪(gao)(gao)(gao)丸(wan)疼(teng)(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)(tong)(tong)臨床癥(zheng)狀較為明(ming)顯，易(yi)于診斷。慢性(xing)(xing)睪(gao)(gao)(gao)丸(wan)疼(teng)(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)(tong)(tong)慢性(xing)(xing)睪(gao)(gao)(gao)丸(wan)疼(teng)(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)(tong)(tong)可(ke)(ke)能由炎癥(zheng)引(yin)(yin)起(qi)(qi)，疼(teng)(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)(tong)(tong)較輕，具有(you)放射性(xing)(xing)疼(teng)(teng)(teng)(teng)(teng)，遷延日久，不容易(yi)判斷炎癥(zheng)的(de)(de)(de)確切位(wei)(wei)置(zhi)。睪(gao)(gao)(gao)丸(wan)的(de)(de)(de)疼(teng)(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)(tong)(tong)不一(yi)定與(yu)炎癥(zheng)的(de)(de)(de)輕重程度成正比，與(yu)個人(ren)的(de)(de)(de)神經(jing)敏感程度有(you)關(guan)系。慢性(xing)(xing)睪(gao)(gao)(gao)丸(wan)疼(teng)(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)(tong)(tong)也(ye)可(ke)(ke)能系精索靜脈曲張(zhang)或(huo)其他(ta)部位(wei)(wei)的(de)(de)(de)疼(teng)(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)(tong)(tong)放射而來。這(zhe)(zhe)時(shi)應(ying)進(jin)行相應(ying)的(de)(de)(de)檢查(cha)，仔細鑒別真正的(de)(de)(de)原因，以便對癥(zheng)治療。不同(tong)原因引(yin)(yin)起(qi)(qi)的(de)(de)(de)睪(gao)(gao)(gao)丸(wan)疼(teng)(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)(tong)(tong)癥(zheng)狀也(ye)有(you)所不同(tong)。感染(ran)導致(zhi)的(de)(de)(de)患(huan)(huan)者睪(gao)(gao)(gao)丸(wan)疼(teng)(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)(tong)(tong)較劇烈。甚至如刀割樣(yang)，還會(hui)伴有(you)發(fa)(fa)勢惡寒等全身癥(zheng)狀，這(zhe)(zhe)時(shi)候陰囊又紅又腫(zhong)，觸碰睪(gao)(gao)(gao)丸(wan)則疼(teng)(teng)(teng)(teng)(teng)痛(tong)(tong)(tong)(tong)(tong)更(geng)加明(ming)顯。當患(huan)(huan)有(you)結核感染(ran)時(shi)，多伴有(you)泌尿系統或(huo)其他(ta)部位(wei)(wei)的(de)(de)(de)結核病(bing)史(shi)，表現為睪(gao)(gao)(gao)丸(wan)隱(yin)隱(yin)作(zuo)痛(tong)(tong)(tong)(tong)(tong)、小腹有(you)墜脹感并(bing)伴有(you)陰囊腫(zhong)脹，嚴重時(shi)會(hui)流出膿(nong)液，當用手摸及這(zhe)(zhe)些病(bing)變部位(wei)(wei)時(shi)，有(you)凹凸(tu)不平的(de)(de)(de)結節，質硬(ying)，并(bing)常常可(ke)(ke)與(yu)陰囊皮膚粘(zhan)連。
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