Superior hypogastric nerve block for alleviating pain after uterine artery embolization
10.13929/j.issn.1672-8475.2024.09.005
- VernacularTitle:上腹下神经丛阻滞缓解子宫动脉栓塞后疼痛
- Author:
Yapeng SUN
1
;
Liming SHEN
;
Jian HUANG
;
Yuchang LU
Author Information
1. 南京大学医学院附属苏州医院介入血管外科,江苏 苏州 215009
- Keywords:
uterine neoplasms;
uterine artery embolization;
nerve block;
pain
- From:
Chinese Journal of Interventional Imaging and Therapy
2024;21(9):532-535
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy of superior hypogastric nerve block(SHNB)for alleviating pain after uterine artery embolization(UAE).Methods Twenty-five patients with hysteromyoma who underwent UAE were retrospectively enrolled.The patients were divided into SHNB group(n=11)and non-SHNB group(n=14,receiving peripheral intravenous analgesia)according to analgesia methods.The technique success rate and complication of SHNB were recorded.The maximum score of numeric pain-rating scale(NRS),the total dose of opioid consumption after UAE and the interval time between UAE completed to the first additional use of opioid were compared between groups.Results No significant difference of patient's age,body mass nor the maximum diameter of hysteromyoma was found between groups(all P＞0.05).The technique success rate of SHNB was 100%(11/11).No complication such as lower limb radiating numbness,intravascular injection,intraperitoneal hemorrhage nor peritonitis occurred.The maximum score of NRS after UAE and the total dose of opioid consumption after UAE in SHNB group were both significantly lower,while the interval time between UAE completed to the first additional use of opioid in SHNB group was significantly longer than those in non-SHNB group(all P＜0.001).Conclusion SHNB was effective for alleviating pain and reducing required dosage of analgesic medications after UAE in patients with hysteromyoma.
