Division of Pain Medicine, Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, 5777 E Mayo Boulevard, Phoenix, AZ, 85054, USA.
Department of Anesthesiology, University of North Carolina, Chapel Hill, NC, USA.
Curr Pain Headache Rep. 2022 Sep;26(9):683-691. doi: 10.1007/s11916-022-01072-4. Epub 2022 Jul 5.
Chronic abdominal and pelvic visceral pain is an oftentimes difficult to treat pain condition that requires a multidisciplinary approach. This article specifically reviews the interventional treatment options for pain resulting from visceral abdominal and pelvic pain.
Sympathetic nerve blocks are the main interventional option for the treatment of chronic abdominal and pelvic visceral pain. Initially, nerve blocks are performed, and subsequently, neurolytic injections (alcohol or phenol) are longer term options. This review describes different techniques for sympathetic blockade. Neuromodulation is a potential option via dorsal column stimulation or dorsal root ganglion stimulation. Finally, intrathecal drug delivery is sometimes appropriate for refractory cases. This paper will review interventional options for the treatment of chronic abdominal and pelvic visceral pain.
慢性腹盆腔内脏痛是一种治疗难度较大的疼痛病症，需要多学科综合治疗。本文专门综述了内脏性腹盆腔疼痛的介入治疗选择。
内脏性腹痛和盆腔疼痛的治疗的主要介入选择是交感神经阻滞。最初，进行神经阻滞，随后是长期的神经溶解注射（酒精或苯酚）。本文描述了不同的交感神经阻滞技术。通过脊髓刺激或脊神经节刺激进行神经调节是一种潜在的选择。最后，鞘内药物输送有时对难治性病例是合适的。本文将综述慢性腹盆腔内脏痛的介入治疗选择。
