Urits Ivan, Schwartz Ruben, Bangalore Siddaiah Harish, Kikkeri Sathyadev, Chernobylsky David, Charipova Karina, Jung Jai Won, Imani Farnad, Khorramian Mohsen, Varrassi Giustino, Cornett Elyse M, Kaye Alan David, Viswanath Omar
Southcoast Health, Southcoast Health Physicians Group Pain Medicine, Wareham, MA.
LSU Health Shreveport, Department of Anesthesiology, Shreveport, LA.
Anesth Pain Med. 2021 Feb 16;11(1):e112225. doi: 10.5812/aapm.112225. eCollection 2021 Feb.
Pelvic pain is described as pain originating from the visceral or somatic system localizing to the pelvis, the anterior abdominal wall at the level of or below the umbilicus, lumbosacral back in either men or women.
Narrative review.
Chronic pelvic pain can be a complex disorder that may involve multiple systems such as urogynecological, gastrointestinal, neuromusculoskeletal, and psychosocial systems. The etiopathogenesis for chronic pain remains unknown for many patients. For achieving optimal patient management, a multimodal and individualized assessment of each patient is the best strategy.
There are non-pharmacologic treatments as well as pharmacologic treatments. In addition to these treatment options, inferior hypogastric plexus block is a promising treatment modality.
盆腔疼痛被描述为起源于内脏或躯体系统并定位于骨盆、脐部及以下水平的前腹壁、男女的腰骶部的疼痛。
叙述性综述。
慢性盆腔疼痛可能是一种复杂的疾病，可能涉及多个系统，如泌尿妇科、胃肠、神经肌肉骨骼和心理社会系统。许多患者慢性疼痛的病因发病机制仍不清楚。为实现最佳的患者管理，对每位患者进行多模式和个体化评估是最佳策略。
有非药物治疗和药物治疗。除了这些治疗选择外，下腹下丛阻滞是一种有前景的治疗方式。
