Beliaev D G, Semenovskiĭ A V, Vinokurov V L, Dekster L I
Vopr Onkol. 1982;28(3):29-34.
The structure of chronic pain and its treatment in 41 cases of advanced malignant tumor of genitals are discussed. Pain syndrome was found to have a certain pattern (site, acuteness, depth, irradiation) which may be used as an additional diagnostic parameter. Different types of analgetic blockade (neurolysis) e. g. subarachnoidal, peridural and sacral, as well as blockade of pudendal nerve were applied in the treatment. Subarachnoidal blockade by alcohol proved to be the most effective (78%) and lasting (22 days). Analgesia by sacral blockade is less effective but safer.
讨论了41例晚期生殖器恶性肿瘤患者的慢性疼痛结构及其治疗。发现疼痛综合征具有一定模式（部位、锐痛程度、深度、放射范围），可作为一项辅助诊断参数。治疗中采用了不同类型的镇痛性阻断（神经松解术），如蛛网膜下腔、硬脊膜外和骶部阻断，以及阴部神经阻断。酒精蛛网膜下腔阻断被证明是最有效的（78%）且持续时间最长（22天）。骶部阻断镇痛效果较差但更安全。
