Plancarte R, Amescua C, Patt R B, Aldrete J A
Universidad Nacional Autonoma de Mexico, Mexico City.
Anesthesiology. 1990 Aug;73(2):236-9. doi: 10.1097/00000542-199008000-00008.
Blockade of the superior hypogastric nerve plexus was performed for relief of chronic cancer related pelvic pain. The targeted sympathetic nerves lie anterior to the sacral promontory. Twenty-eight patients with neoplastic involvement of pelvic viscera secondary to cervical, prostate, and testicular cancer or radiation injury were treated with neurolytic superior hypogastric plexus block. Sympathetically mediated pain was significantly reduced or eliminated in all cases and no serious complications occurred. Superior hypogastric plexus block is recommended for diagnostic/prognostic and therapeutic purposes in patients with chronic pelvic pain, particularly when pain is of neoplastic origin.
为缓解慢性癌性盆腔疼痛，实施了上腹下神经丛阻滞术。目标交感神经位于骶岬前方。对28例因宫颈癌、前列腺癌、睾丸癌或放射损伤继发盆腔脏器肿瘤累及的患者进行了神经溶解型上腹下神经丛阻滞治疗。所有病例中，交感神经介导的疼痛均显著减轻或消除，且未发生严重并发症。对于慢性盆腔疼痛患者，尤其是疼痛源于肿瘤时，推荐进行上腹下神经丛阻滞以用于诊断/预后评估及治疗目的。
