Gunduz Osman Hakan, Kenis-Coskun Ozge
Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Marmara University, Istanbul, Turkey.
J Pain Res. 2017 Dec 14;10:2815-2826. doi: 10.2147/JPR.S134775. eCollection 2017.
The inputs from sympathetic ganglia have been known to be involved in the pathophysiology of various painful conditions such as complex regional pain syndrome, cancer pain of different origin, and coccygodynia. Sympathetic ganglia blocks are used to relieve patients who suffer from these conditions for over a century. Many numbers of local anesthetics such as bupivacaine or neurolytic agents such as alcohol can be chosen for a successful block. The agent is selected according to its duration of effect and the purpose of the injection. Most commonly used sympathetic blocks are stellate ganglion block, lumbar sympathetic block, celiac plexus block, superior hypogastric block, and ganglion Impar block. In this review, indications, methods, effectiveness, and complications of these blocks are discussed based on the data from the current literature.
已知交感神经节的输入参与了各种疼痛病症的病理生理学过程，如复杂性区域疼痛综合征、不同起源的癌痛和尾骨痛。交感神经节阻滞用于缓解患有这些病症的患者已有一个多世纪。为了成功进行阻滞，可以选择许多局部麻醉剂如布比卡因或神经破坏剂如酒精。根据其作用持续时间和注射目的选择药物。最常用的交感神经阻滞是星状神经节阻滞、腰交感神经阻滞、腹腔神经丛阻滞、上腹下丛阻滞和奇神经节阻滞。在本综述中，基于当前文献的数据讨论了这些阻滞的适应症、方法、有效性和并发症。
