Department of Obstetrics and Gynecology, St. Joseph's Hospital and Medical Center, Phoenix, Arizona 85013, USA.
J Minim Invasive Gynecol. 2010 Mar-Apr;17(2):148-53. doi: 10.1016/j.jmig.2009.11.003. Epub 2010 Jan 12.
Pudendal neuralgia is a painful, neuropathic condition involving the dermatome of the pudendal nerve. This condition is not widely known and often unrecognized by many practitioners. The International Pudendal Neuropathy Association (tipna.org) estimates the incidence of this condition to be 1/100,000; however, most practitioners treating patients with this condition feel the actual rate of incidence may be significantly higher. Currently, there is fair paucity of medical literature and scientific evidence in the diagnosis and treatment of pudendal neuralgia. Diagnosis of this condition is based on the utilization of Nantes Criteria, in conjunction with clinical history and physical findings. CT-scan guided nerve blocks are also employed, by this author, to provide additional information. Subsequent treatment of pudendal neuralgia is medical and well as surgical, with Physical Therapy a key component to all aspects of treatment. The goal of this paper is to present evidence based information, as well as personal clinical experience, in treating approximately 200 patients with pudendal neuralgia.
阴部神经痛是一种疼痛性神经病变，涉及阴部神经的皮节。这种情况并不广为人知，许多医生往往也没有意识到。国际阴部神经病变协会（tipna.org）估计这种疾病的发病率为 1/100000；然而，治疗这种疾病的大多数医生认为实际发病率可能要高得多。目前，阴部神经痛的诊断和治疗的医学文献和科学证据相当匮乏。这种疾病的诊断基于利用南特标准，结合临床病史和体格检查。作者还采用 CT 扫描引导的神经阻滞来提供额外的信息。阴部神经痛的后续治疗包括药物和手术治疗，物理治疗是治疗各个方面的关键组成部分。本文的目的是提供基于证据的信息以及个人临床经验，治疗大约 200 名阴部神经痛患者。
