Kastler B, Jacamon M, Aubry S, Barral F G, Hadjidekov G, Sarliève P, Saguet O, Lerais J M, Cadel G, Kovacs R, Boulahdour H, Pereira P
Service de Radiologie A, Hôpital Jean Minjoz, Boulevard Fleming, 25030 Besançon.
J Radiol. 2007 Sep;88(9 Pt 2):1242-7. doi: 10.1016/s0221-0363(07)91333-5.
Bone metastases are the most common cause of pain in cancer patients. Pain management in cancer patients, often revealing the disease and always present at advanced stages, is an important and difficult task. Pain is not always properly controlled by high doses of specific medication, radiation therapy or chemotherapy. When these therapies do not provide adequate pain relief, percutaneous neurolysis, infiltrations, alcoholizations and cementoplasty may be considered. More recently RF ablation has been proposed. On weight-bearing bones, RF can be combined with acrylic cement injection. The authors present here this very effective new technique which is complementary to classical pain management techniques.
骨转移是癌症患者疼痛的最常见原因。癌症患者的疼痛管理往往能揭示疾病情况,且在晚期总是存在,这是一项重要而艰巨的任务。高剂量的特定药物、放射治疗或化疗并不总能有效控制疼痛。当这些治疗不能提供足够的疼痛缓解时,可以考虑经皮神经溶解术、浸润、酒精注射和骨水泥成形术。最近有人提出了射频消融术。在负重骨上,射频可以与丙烯酸骨水泥注射相结合。作者在此介绍这项非常有效的新技术,它是对传统疼痛管理技术的补充。