| CT引导下经皮穿刺内脏大小神经毁损术治疗晚期胰腺癌疼痛 |
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| 引用本文： | 计忠伟,刘文龙,茹彬,万权,蔡文君,李顺.CT引导下经皮穿刺内脏大小神经毁损术治疗晚期胰腺癌疼痛[J].中国介入影像与治疗学,2019,16(4):207-210. |
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| 作者姓名： | 计忠伟 刘文龙 茹彬 万权 蔡文君 李顺 |
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| 作者单位： | 浙江省人民医院杭州医学院附属人民医院疼痛科 |
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| 摘 要： | 目的观察CT引导下经皮穿刺内脏大小神经毁损术治疗晚期胰腺癌疼痛的有效性及安全性。方法对30例晚期胰腺癌疼痛患者行CT引导下经皮穿刺内脏大小神经毁损术,采用CTCAE v3.0分级标准评价患者术中及术后住院期间气胸、顽固性低血压、腹泻等不良反应情况,术后1周进行疗效评价。分别于术前及术后1周、1个月、3个月进行视觉模拟评分(VAS),并记录吗啡日用量。结果对30例均顺利完成手术,术中及术后住院期间均未发生气胸、顽固性低血压或心律失常,仅6例出现Ⅰ、Ⅱ度腹泻,对症处理后均好转。30例中,术后1周临床治愈5例、疗效显著21例、有效4例;26例(26/30,86.67%)疼痛缓解程度50%(临床治愈及疗效显著)。术后1周、1个月及3个月患者VAS及吗啡日用量均较术前降低(P均0.05),且术后3个月VAS高于术后1周(t=-3.14,P0.01)。结论 CT引导下经皮穿刺内脏大小神经毁损治疗晚期胰腺癌疼痛疗效确切,且安全性较高。
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| 关 键 词： | 胰腺肿瘤 癌性疼痛 体层摄影术 X线计算机 神经传导阻滞 影像引导 |
| 收稿时间： | 2018/8/10 0:00:00 |
| 修稿时间： | 2019/1/8 0:00:00 |
CT-guided percutaneous splanchnic nerves block in treatment of advanced pancreatic cancer pain |
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| JI Zhongwei,LIU Wenlong,RU Bin,WAN Quan,CAI Wenjun and LI Shun.CT-guided percutaneous splanchnic nerves block in treatment of advanced pancreatic cancer pain[J].Chinese Journal of Interventional Imaging and Therapy,2019,16(4):207-210. |
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| Authors: | JI Zhongwei LIU Wenlong RU Bin WAN Quan CAI Wenjun and LI Shun |
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| Institution: | Department of Pain Management, Zhejiang Provincial People''s Hospital, People''s Hospital of Hangzhou Medical College, Hangzhou 310014, China,Department of Pain Management, Zhejiang Provincial People''s Hospital, People''s Hospital of Hangzhou Medical College, Hangzhou 310014, China,Department of Pain Management, Zhejiang Provincial People''s Hospital, People''s Hospital of Hangzhou Medical College, Hangzhou 310014, China,Department of Pain Management, Zhejiang Provincial People''s Hospital, People''s Hospital of Hangzhou Medical College, Hangzhou 310014, China,Department of Pain Management, Zhejiang Provincial People''s Hospital, People''s Hospital of Hangzhou Medical College, Hangzhou 310014, China and Department of Pain Management, Zhejiang Provincial People''s Hospital, People''s Hospital of Hangzhou Medical College, Hangzhou 310014, China |
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| Abstract: | |
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| Keywords: | pancreatic neoplasms cancer pain tomography X-ray computed nerve block imaging-guided |
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