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[肿瘤学中的疼痛管理]

[Pain management in oncology].

作者信息

Gangi A, Buy X, Garnon J, Tsoumakidou G, Moser T, Bierry G, Muller A

机构信息

Service de radiologie interventionnelle, hôpital civil, 1, place de l'Hôpital, 67000 Strasbourg, France.

出版信息

J Radiol. 2011 Sep;92(9):801-13. doi: 10.1016/j.jradio.2011.07.014. Epub 2011 Sep 1.

Abstract

Several interventional radiology procedures are available for the management of cancer pain. In this article, we will briefly review the different procedures and their value in the setting of cancer pain management under two main categories: indirect action (regional anesthesia from neurolysis) and direct action on the tumor. Percutaneous ablation of bone tumors: alcohol, laser, radiofrequency, microwaves, ultrasound, and cryoablation. Several indications have previously been validated, including thermal ablation of bone metastases with results superior to conventional therapies. Additional applications should be validated over the next few years.

摘要

有几种介入放射学方法可用于癌症疼痛的管理。在本文中,我们将简要回顾不同的方法及其在癌症疼痛管理中的价值,分为两大类:间接作用(神经溶解引起的区域麻醉)和对肿瘤的直接作用。骨肿瘤的经皮消融:酒精、激光、射频、微波、超声和冷冻消融。此前已有几种适应症得到验证,包括骨转移瘤的热消融,其效果优于传统疗法。未来几年应验证更多的应用。

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