Akinwamide Oluwanifesimi, Syed Asad, Mehta Juhi, Andrawis Marina, Zhang Haijun
Anesthesiology, Rutgers University New Jersey Medical School, Newark, USA.
Cureus. 2024 Sep 24;16(9):e70128. doi: 10.7759/cureus.70128. eCollection 2024 Sep.
Cancer pain treatment currently consists of the administration of pain medications, radiation therapy, tumor ablation as well as neurolytic plexus blocks. Neurolytic plexus blocks target both sensory afferent fibers and sympathetic fibers innervating visceral organs. Finding the right block for a specific type and location of cancer-related pain is crucial for the successful control of pain. One such example is a ganglion impar block for perineal pain. We report a case of a patient with chronic severe perineal pain from vulvar cancer and multiple surgeries, for whom a ganglion impar block followed by neurolysis provided significant pain relief.
目前癌症疼痛治疗包括使用止痛药物、放射治疗、肿瘤消融以及神经溶解丛阻滞。神经溶解丛阻滞针对支配内脏器官的感觉传入纤维和交感神经纤维。为特定类型和部位的癌症相关疼痛找到合适的阻滞方法对于成功控制疼痛至关重要。一个这样的例子是阴部神经阻滞治疗会阴部疼痛。我们报告了一例患有外阴癌并接受多次手术导致慢性严重会阴部疼痛的患者，对其进行阴部神经阻滞后再行神经松解术，疼痛得到了显著缓解。
