诊断和管理 Pudendal 神经痛的治疗方法
Mohammed Ahmed1, Periklis Zavridis2, Despina Hadjiconstanti3
1University of East Anglia, Norwich, UK.
Pain and therapy
|December 13, 2025
概括
肺部神经病 (PN) 诊断主要是临床的,神经阻塞对大多数患者有效. 像刺激和手术这样的先进治疗方法适用于耐火病例,但需要更多的研究.
科学领域:
- 神经学 神经学
- 疼痛医学 医学 疼痛医学
- 手术科学 手术科学
背景情况:
- 鼻神经痛 (PN) 是一种慢性神经病痛,影响鼻神经的疾病.
- 症状包括围或骨盆疼痛,经常因坐着而恶化.
研究的目的:
- 系统地审查当前关于诊断和管理 pudendal神经疼痛的知识.
- 发现有关诊断准确性和治疗疗效的研究缺陷.
主要方法:
- 一项全面的PubMed搜索发现了475篇文章;35篇符合纳入标准.
- 研究被分为诊断策略 (9) 和管理 (26).
主要成果:
- 诊断主要是临床的 (南特标准);成像学和神经生理学的作用有限.
- 尾神经阻塞显示出高的诊断和治疗反应率 (高达94%).
- 管理是逐步的:保守的护理,阻塞,然后神经调节或手术对耐火病例;脉冲射频和神经刺激显示承诺 (高达95%的疼痛减轻).
结论:
- 缺乏高质量的比较研究和RCT用于PN诊断和治疗.
- 对大多数患者来说,保守的措施和神经阻塞足够.
- 神经调节和手术仅适用于耐火病例;新兴疗法需要验证.
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