[1]茅爱武,胡旋,刘诗义,等.胰腺、后腹膜及椎旁癌肿疼痛的介入化疗应用[J].介入放射学杂志,2007,(11):769.
MAO Ai-wu,HU Xuan,LIU Shi-yi,et al.Interventional chemotherapy for pain caused by pancreatic,retro-peritoneal and paravertabral tumors[J].journal interventional radiology,2007,(11):769.
点击复制
胰腺
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后腹膜及椎旁癌肿疼痛的介入化疗应用(
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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- 期数:
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2007年11期
- 页码:
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769
- 栏目:
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临床研究
- 出版日期:
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2007-11-15
文章信息/Info
- Title:
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Interventional chemotherapy for pain caused by pancreatic,retro-peritoneal and paravertabral tumors
- 作者:
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茅爱武; 胡旋; 刘诗义; 等
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200050上海长宁区同仁医院介入中心
- Author(s):
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MAO Ai-wu; HU Xuan; LIU Shi-yi; JIA Yi-ping; WANG Zhen-lei; FANG Shi-min; CAO Zhong-du.
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Intervention Center,Shanghai Tongren Hospital,Changning Distract,Shanghai200050,China
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- 关键词:
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腰动脉; 肋间动脉; 癌性疼痛; 化疗灌注
- 分类号:
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R735.9
- 文献标志码:
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B
- 摘要:
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目的探索胰腺、后腹膜及椎旁癌肿疼痛的介入止痛方法,以微创技术缓解晚期癌痛。方法对86例晚期癌症因原发或转移病变侵及后腹膜、纵隔和椎旁以及脊柱引起剧烈疼痛患者,应用介入微创技术经腰动脉、肋间动脉和其他肿瘤供养血管插管行化疗药物灌注治疗。随访术后病情变化及疼痛缓解情况。结果治疗后患者肿瘤生长得以抑制,疼痛症状明显缓解或减轻。应用数字分级及主诉分级两种评分法同时评估,疼痛缓解有效率分别达90.7%和88.4%。结论腰、肋动脉化疗药物灌注能有效缓解因后腹膜、纵隔或椎旁以及脊柱病变引起的癌性疼痛,可作为临床可供选择的方法予以应用。
参考文献/References:
[1]Foley KM.Pain Syndromes in Patients with Cancer.In Bonica JJ,Ventafridda V eds.Advances in pain research and therapy[M].New York熏Raven,1979.59.
[2]陈辉,杨锡馨.我国癌痛治疗现状的思考[J].医学与社会,2001,14:25-27.
[3]WHO.癌性疼痛的治疗[M].北京:人民卫生出版社,1988.
[4]潘杰,杨宁.CT引导下经腹前壁途径腹腔神经丛阻滞术治疗癌性疼[J].介入放射学杂志,2001,10:99-102.
[5]孙燕,顾慰平,主编.癌症病人三阶梯止痛疗法的指导原则[M].第二版,北京:北京医科大学出版社,2000.
[6]WHO.Collaborating Centre for Palliative Care,Looking forward to Cancer Pain Relief for All[J].Oxford,uk,1997.
[7]Oral transmucosal fentanyl押new preparation.for breakthrough can-cer pain when morphine fails[J].Prescrine Int,2002,11:106-107.
[8]周际昌,主编.实用肿瘤内科学[M].北京:人民卫生出版社,1999,176.
[9]王锦琰.修改WHO三阶梯镇痛方案势在必行[J].中国疼痛医学杂志,2006,12:258-259
[10]Tumer JS,Cheung EM,George J,et al.Pain management,supportive and palliative care in patients with renal cell carcinoma[J].BJU Inf,2007,99:1305-1312.
[11]Mole F,Coebergh JW,wan di Poll-Franse LV.Health-related quality of life and health care utillisation among older long-term cancer survivors:A population-based study[J].Eur J Cancer,2007.
备注/Memo
- 备注/Memo:
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收稿日期:2007-07-16
基金项目:上海市科学发展研究基金项目(024119069)
更新日期/Last Update:
2007-11-15