贝托洛蒂综合征中耐火性盆腔疼痛的上下胃块:一个病例报告
Julio Cesar Gonzalez Ortiz1, Andres Rocha-Romero2, Victor Hugo Escobar Reyes3
1Department of Anesthesiology and Pain Management, Hospital Angeles Xalapa, Xalapa Mexico.
Pain medicine case reports
|January 14, 2026
概括
这项研究表明,在患有盆腔癌疼痛和复杂脊椎解剖的患者中,对上下胃 (SHP) 神经溶解进行了修改的跨盘方法. 这种技术成功地在患有腰部神经过渡脊椎 (LSTV) 的患者中控制了耐火性疼痛.
科学领域:
- 干预性疼痛管理 干预性疼痛管理
- 脊椎解剖学 脊椎解剖学
- 在瘤学瘤学.
背景情况:
- 上下胃 (SHP) 神经溶解是治疗盆腔癌疼痛的标准治疗方法.
- 腰部神经过渡脊椎 (LSTV) 在光学指导的手术中存在技术上的困难.
- 晚期子宫癌中难治的盆腔疼痛需要先进的干预策略.
研究的目的:
- 描述一种修改过盘的方法,用于在患有LSTV的患者中进行SHP神经分解.
- 为了证明神经分解在复杂的脊椎解剖学中的可行性.
- 突出解剖学理解和规划在干预性疼痛管理中的重要性.
主要方法:
- 修改后的跨盘式方法被用于SHP和银河节 impar神经分解.
- 在整个程序中使用光镜指导.
- 进行了详细的术前成像分析,以解决解剖学变异.
主要成果:
- 取得了成功的神经解剖的SHP和节 impar.
- 在患有LSTV的患者中,修改过盘的方法是可行的.
- 耐火性盆腔疼痛得到了有效的管理.
结论:
- 跨盘SHP神经分解在具有复杂脊髓解剖的患者中是可行的.
- 彻底的解剖学理解,细致的规划和精细的技术至关重要.
- 临床医生应适应复杂的脊柱变异的干预策略.
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