两例间质性膀胱炎患者行腰交感神经阻滞以缓解疼痛。
Lumbar sympathetic block for pain relief in two patients with interstitial cystitis.
作者信息
Doi K, Saito Y, Nikai T, Morimoto N, Nakatani T, Sakura S
机构信息
Department of Anesthesiology, Shimane Medical University, 89-1 Enya-cho, Izumo 693-8501, Japan.
出版信息
Reg Anesth Pain Med. 2001 May-Jun;26(3):271-3. doi: 10.1053/rapm.2001.23221.
BACKGROUND AND OBJECTIVES
Interstitial cystitis (IC) is characterized clinically by lower abdominal pain, pain during urination, and increased frequency of urination. Treatment of the symptoms in IC remains challenging. We report effective treatment using lumbar sympathetic block for 2 patients with IC.
CASE REPORT
A 63-year-old and 78-year-old woman were diagnosed with IC. Medical therapy with nonsteroidal anti-inflammatory drugs (NSAID), anticholinergics, and hydrodistention of the bladder failed to improve their symptoms. Subsequently, a continuous lumbar epidural block using 1% mepivacaine was used in these patients. A transient reduction of the symptoms in both patients was achieved. A lumbar sympathetic block with a neurolytic agent produced almost complete, and long-lasting relief of their symptoms.
CONCLUSION
Lumbar sympathetic block using a neurolytic agent produced long-lasting pain relief in 2 patients with IC. Reg Anesth Pain Med 2001;26:271-273.
背景与目的
间质性膀胱炎（IC）的临床特征为下腹部疼痛、排尿时疼痛以及尿频。IC症状的治疗仍然具有挑战性。我们报告了对2例IC患者使用腰交感神经阻滞进行有效治疗的情况。
病例报告
一名63岁和一名78岁女性被诊断为IC。使用非甾体抗炎药（NSAID）、抗胆碱能药物以及膀胱水扩张进行药物治疗未能改善她们的症状。随后，对这些患者使用1%甲哌卡因进行连续腰段硬膜外阻滞。两名患者的症状均出现短暂减轻。使用神经溶解剂进行腰交感神经阻滞几乎完全且持久地缓解了她们的症状。
结论
使用神经溶解剂进行腰交感神经阻滞使2例IC患者获得了持久的疼痛缓解。《区域麻醉与疼痛医学》2001年；26：271 - 273。
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