国际妇产科学杂志 ›› 2019, Vol. 46 ›› Issue (1): 32-36.

• 综述 • 上一篇    下一篇

女性慢性盆腔痛的神经生物学研究进展

刘艳敏,江秀秀   

  1. 314408浙江省海宁市中心医院妇产科(刘艳敏);浙江大学医学院附属妇产科医院(江秀秀)
  • 收稿日期:2018-08-27 修回日期:2018-11-22 出版日期:2019-02-15 发布日期:2019-02-15
  • 通讯作者: 江秀秀,E-mail:jiangxiuxiu0418@zju.edu.cn E-mail:jiangxiuxiu0418@zju.edu.cn
  • 基金资助:
    浙江省自然科学基金(LY17H040003)

Advances in the Neurobiology of Women with Chronic Pelvic Pain

LIU Yan-min,JIANG Xiu-xiu   

  1. Department of Obstetrics and Gynecology, The Central Hospital of Haining, Haining 314408, Zhejiang Province, China (LIU Yan-min); Women′s Hospital, School of Medicine, Zhejiang University, Hangzhou 310006, China
  • Received:2018-08-27 Revised:2018-11-22 Published:2019-02-15 Online:2019-02-15
  • Contact: JIANG Xiu-xiu, E-mail:jiangxiuxiu0418@zju.edu.cn E-mail:jiangxiuxiu0418@zju.edu.cn

摘要: 盆腔痛是女性常见妇科疾病之一,以慢性盆腔痛为主,对女性的姿势、平衡能力等都有着较大的影响,严重威胁着女性患者的生活质量和生命健康。但是目前关于女性慢性盆腔痛发生的生物学基础尚不清楚,病因也尚不明确,且对慢性盆腔痛的评估和治疗也比较复杂,给女性慢性盆腔痛的治疗和康复带来了较大的困难。为了给女性盆腔痛预防和治疗提供进一步的理论基础,拟对女性内生殖系统和外生殖系统的神经支配、中枢神经系统影像改变和疼痛易感性、细胞因子和外周神经纤维的相互作用、炎症因子在降低外周神经敏感性中的作用、钠离子通道介导神经元疼痛信号的传导、神经元的激酶信号传导通路激活进行综述,重点探讨信号通路和细胞因子等因素在疼痛发生中的作用。

关键词: 骨盆痛, 神经生物学, 信号传导, 细胞因子类, 疾病易感性

Abstract: Pelvic pain is one of the common gynecological diseases in women, which mainly presents as chronic pelvic pain. It has not only a great impact on women′s posture and balance ability, but also severe influence on the quality of life and health. However, the biological basis and etiology of chronic pelvic pain are still unclear. Its evaluation and treatment are complicated, which brings great difficulties to the treatment and rehabilitation. We aim to review the innervation of internal and external reproductive systems, the imaging changes and pain susceptibility of central nervous, the interaction between cytokines and peripheral nerve fibers, the role of inflammation factor in reducing peripheral nerve sensitivity, the pain signals transmission and neurons kinase signaling pathways activation mediated by sodium channel to further provide a theoretical basis for the prevention and treatment of female pelvic pain. We focus on the role of signaling pathways and cytokines in the pathogenesis of pain.

Key words: Pelvic pain, Neurobiology, Signal transduction, Cytokines, Disease susceptibility