Puget J, Kastler B, Aubry S, Laborie L, Fergane B, Delabrousse E, Boulahdour Z, Parratte B
Service de radiologie A et C, CHU Jean Minjoz, 3 Bd Alexandre Flemming 25000 Besancon.
J Radiol. 2009 May;90(5 Pt 1):577-82. doi: 10.1016/s0221-0363(09)74023-5.
To assess the value of CT guided dual site infiltration in patients with pudendal neuralgia and determine prognostic factors of efficacy. Materials and methods. Retrospective review of 49 patients with suspected pudendal neuralgia who underwent one or multiple injections of local anesthetics and steroids. Patients were classified based on clinical and electrophysiological findings.
70% of patients with typical symptoms of pudendal neuralgia responded favorably to the infiltrations compared to 27% of patients with atypical symptoms (p<0.05). The mean number of infiltrations was 2.2. 84% of responding patients experienced symptomatic relief after the first infiltration. The mean duration of symptomatic relief was 3 months.
Infiltration is an effective treatment for patients with typical pudendal neuralgia, and should be included in the management of these patients.
评估CT引导下双位点浸润对阴部神经痛患者的价值，并确定疗效的预后因素。材料与方法。回顾性分析49例疑似阴部神经痛患者，这些患者接受了一次或多次局部麻醉剂和类固醇注射。根据临床和电生理检查结果对患者进行分类。
与27%有非典型症状的患者相比，70%有典型阴部神经痛症状的患者对浸润治疗反应良好（p<0.05）。平均浸润次数为2.2次。84%有反应的患者在首次浸润后症状缓解。症状缓解的平均持续时间为3个月。
浸润治疗对典型阴部神经痛患者是一种有效的治疗方法，应纳入这些患者的治疗方案中。
