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目的总结阴部神经阻滞治疗耻骨直肠肌综合征的理论基础与临床疗效。方法回顾分析从2012年1月~2014年12月共89例耻骨直肠肌综合征患者。采用药物对双侧阴部神经进行阻滞治疗,观察其疗效。结果临床治愈者达33例,占37.1%;治疗效果好转者31例,占34.8%;治疗无效者25例,占28.1%。治疗有效患者中注射后3个月至1年返院复查,出现症状复发者27例,占治疗有效者的42.2%。结论阴部神经阻滞痛苦小,费用低,而且操作简单,疗效较好,且可以间断反复进行,不失为一种较好的治疗方法 。
Objective To summarize the theoretical basis and clinical curative effect of genitals nerve block in the treatment of puborectalis syndrome. Methods A total of 89 patients with puborectalis syndrome from January 2012 to December 2014 were retrospectively analyzed. The use of drugs on both sides of the pudendal nerve block treatment, observe its efficacy. Results The clinical cure rate reached 33 cases, accounting for 37.1%. The improvement of treatment effect was found in 31 cases (34.8%). The treatment was ineffective in 25 cases (28.1%). Effective treatment of patients 3 months after injection to 1 year to return to the hospital for review, there were 27 cases of recurrence of symptoms, accounting for 42.2% of the effective treatment. Conclusion The pudendal nerve block is less painful, less costly, easier to operate and better curative effect, and can be repeated intermittently, which is a good treatment.