Turchan Agus, Fahmi Achmad, Subianto Heri
Department of Neurosurgery, Division of Stereotactic and Functional Neurosurgery, Faculty of Medicine, Airlangga University/Dr. Soetomo General Hospital, Surabaya, Indonesia.
Asian J Neurosurg. 2018 Jul-Sep;13(3):838-841. doi: 10.4103/ajns.AJNS_306_16.
Since it was first introduced, a variety of modification techniques to block the impar ganglion appear such as transsacrococcygeal ligament technique, sacrococcygeal transdiscal approach, paramedian approach, and a two-needle technique using fluoroscopy or computed tomography scan. For therapeutic purposes, a combination of steroid and local anesthetic, neurolysis agents such as alcohol, phenol, cryolesioning, and heat lesioning using radiofrequency thermocoagulation could be used. Here, we reported a successful outcome in treating chronic perineal pain in a 65-year-old patient using combination of neurolysis agent which was alcohol 96% and radiofrequency thermocoagulation.
自首次引入以来，出现了多种用于阻断阴部神经节的改良技术，如经骶尾韧带技术、骶尾经椎间盘入路、旁正中入路以及使用荧光透视或计算机断层扫描的双针技术。出于治疗目的，可使用类固醇与局部麻醉剂的组合、诸如酒精、苯酚等神经溶解剂、冷冻消融以及使用射频热凝的热消融。在此，我们报告了一例使用96%酒精神经溶解剂与射频热凝联合治疗一名65岁患者慢性会阴痛取得成功的病例。
