脉冲温控射频治疗晚期胰腺癌顽固性疼痛的疗效观察

目的:探讨脉冲温控射频治疗晚期胰腺癌顽固性疼痛的疗效.方法:对46例伴有顽固性疼痛的晚期胰腺癌病人给予脉冲温控射频治疗,观察疼痛缓解、KPS评分以及并发症情况.结果:所有病人治疗后疼痛减轻,VAS评分明显减少(P<0.05).精神、睡眠、营养状况等显著改善,KPS评分较术前明显增高(P<0.05).少数病人(8.7%)出现轻度消化道并发症,经对症治疗后治愈.结论:脉冲温控射频是一种有效、安全的治疗晚期胰腺癌顽固性疼痛的手段,并能有效地改善病人生存质量.

OBSERVATION OF THERAPEUTIC EFFECT ABOUT UNRESECTABLE PANC:REATIC CARCINOMA WITH INTRACTABLE PAIN BY PULSED-THERMOCONTROL-REDIOFRE-QUENCY

Objective:To explore the therapeutic effect of intractable pancreatic carcinomatous pain by pulsed-thermocontrol-radiofrequency.Methods:46 cases of unresectable pancreatic carcinoma with in- tractable pain were treated by pulsed-thermocontrol-radiofrequency.Pain-relief,kps and complications after treatment were observed.Results:Follow up ranged from 0 to 90 days observation showed that the intractable pain in all patients was controlled after the therapy.VAS was decreased obviously(P<0. 05).Spirit condition,sleeping and nutritional state were improved significantly,KPS was increased obvi- ously(P<0.05).There were a few cases(8.7%)occurrence minor alimentary complications,and all healed by conservative treatments.Conclusion:Pulsed.thermoeontrOL-radiofrequeney iS a method with safe and good effective and less complications for the treatment of intractable pancreatic carcinomatous pain,and it can improve life quality of patients efficiently.