Başağan Moğol Elif, Türker Gürkan, Kelebek Girgin Nermin, Uçkunkaya Nesimi, Sahin Sükran
Uludag University Medical School, Department of Anesthesiology and Reanimation, Bursa, Turkey.
Agri. 2004 Oct;16(4):48-53.
Impar ganglion block provides pain relief in patients who suffer from sympathetically mediated pain arising from disorders of viscera and somatic structures within the pelvis and perineum. We performed impar ganglion blockade through sacrococcygeal junction instead of anococcygeal ligament in 9 patients who had localized perineal pain of visceral origin. All the blocks which were performed through sacrococcygeal junction without bending the needle under fluoroscopic guidance were easy to perform without any complication. Pain intensity by Visual Analogue Scale, daily opioid requirements, and complications related to opioids were evaluated before the procedure, and for 2 months after the procedure. The intensity of pain, daily opioid requirement and the complication related to the opioids were significantly decreased in 8 patients. We suggest that impar ganglion block through sacrococcygeal junction appears to be safe and effective procedure in the management of perineal pain related to malignancy.
骶前神经节阻滞可为因盆腔和会阴内脏及躯体结构紊乱引起的交感神经介导性疼痛患者缓解疼痛。我们对9例患有局限性内脏源性会阴疼痛的患者，通过骶尾关节而非肛门尾骨韧带进行骶前神经节阻滞。所有在透视引导下不弯曲针头经骶尾关节进行的阻滞操作简便，无任何并发症。在操作前以及操作后2个月，通过视觉模拟评分法评估疼痛强度、每日阿片类药物需求量以及与阿片类药物相关的并发症。8例患者的疼痛强度、每日阿片类药物需求量以及与阿片类药物相关的并发症均显著降低。我们认为，经骶尾关节进行骶前神经节阻滞在治疗与恶性肿瘤相关的会阴疼痛方面似乎是一种安全有效的方法。
