Hunter Corey W, Falowski Steven
Ainsworth Institute of Pain Management; Physical Medicine & Rehabilitation, Icahn School of Medicine at Mount Sinai Hospital, New York City, NY, USA.
Neurosurgical Associates of Lancaster, 160 N Pointe Blvd #200, Lancaster, PA, 17601, USA.
Curr Pain Headache Rep. 2021 Feb 3;25(2):9. doi: 10.1007/s11916-020-00927-y.
Chronic pelvic pain (CPP) is a complex condition that can be multifactorial, disabling, and difficult to treat. It is important to understand the various diagnoses and pathways that can be involved and have an understanding of the available treatment options.
There is a complex innervation of the pelvic region which makes its treatment very challenging. There are pathophysiological similarities of CPP to disease states like complex regional pain syndrome and sympathetically driven pain. CPP is poorly understood and includes psychological, psychosocial, cultural, and economic influences. Treatment options vary, but neuromodulation does remain a centerpiece and can include sacral stimulation, SCS, DRG stimulation, and PNS.
慢性盆腔疼痛（CPP）是一种复杂的病症，可能是多因素导致的，会使人致残且难以治疗。了解可能涉及的各种诊断和途径，并知晓可用的治疗选择非常重要。
盆腔区域存在复杂的神经支配，这使得其治疗极具挑战性。CPP与复杂区域疼痛综合征和交感神经驱动性疼痛等疾病状态在病理生理方面存在相似性。人们对CPP的了解甚少，它受到心理、社会心理、文化和经济等方面的影响。治疗选择各不相同，但神经调节仍然是核心内容，可包括骶神经刺激、脊髓刺激、背根神经节刺激和外周神经刺激。
