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胰腺癌的疼痛管理:综述

Pain management of pancreatic carcinoma: a review.

作者信息

Lebovits Allen H, Lefkowitz Mathew

机构信息

Pain Management Service, Department of Anesthesiology, State University of New York Health Science Center at Brooklyn, Brooklyn, NY 11203 U.S.A.

出版信息

Pain. 1989 Jan;36(1):1-11. doi: 10.1016/0304-3959(89)90106-1.

DOI:10.1016/0304-3959(89)90106-1
PMID:2465529
Abstract

This paper reviews the most commonly used pain management interventions with patients who have carcinoma of the pancreas. Prior research has focused on the use of celiac plexus block. Other methods such as pain medication as well as chemical and surgical splanchnicectomy are also reviewed. Results of this review point to very successful pain relief rates with celiac plexus block and the urgent need for vigorous evaluation studies of pain management techniques in patients with pancreatic carcinoma.

摘要

本文回顾了胰腺癌患者最常用的疼痛管理干预措施。先前的研究主要集中在腹腔神经丛阻滞的应用。本文还回顾了其他方法,如止痛药以及化学和手术性内脏神经切除术。该综述结果表明,腹腔神经丛阻滞的疼痛缓解率非常高,并且迫切需要对胰腺癌患者的疼痛管理技术进行有力的评估研究。

相似文献

1
Pain management of pancreatic carcinoma: a review.胰腺癌的疼痛管理:综述
Pain. 1989 Jan;36(1):1-11. doi: 10.1016/0304-3959(89)90106-1.
2
An open randomized comparison of clinical effectiveness of protocol-driven opioid analgesia, celiac plexus block or thoracoscopic splanchnicectomy for pain management in patients with pancreatic and other abdominal malignancies.一项针对胰腺和其他腹部恶性肿瘤患者疼痛管理的方案驱动阿片类镇痛药、腹腔神经丛阻滞或胸腔镜内脏神经切断术的临床效果的开放性随机比较。
Pancreatology. 2009;9(6):755-63. doi: 10.1159/000199441. Epub 2010 Jan 15.
3
Intraoperative celiac plexus block in the surgical palliation for unresectable pancreatic cancer.术中腹腔神经丛阻滞在不可切除胰腺癌手术姑息治疗中的应用
Eur J Surg Oncol. 1999 Aug;25(4):427-31. doi: 10.1053/ejso.1999.0670.
4
[Pain management in patients with pancreatic cancer].[胰腺癌患者的疼痛管理]
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Splanchnicectomy for pancreatic cancer pain.内脏神经切除术治疗胰腺癌疼痛。
Biomed Res Int. 2014;2014:941726. doi: 10.1155/2014/941726. Epub 2014 Apr 27.
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Video-assisted thoracoscopic sympathectomy-splanchnicectomy for pancreatic cancer pain.电视辅助胸腔镜下交感神经切除术 - 内脏神经切除术治疗胰腺癌疼痛
J Pain Symptom Manage. 2001 Jul;22(1):610-6. doi: 10.1016/s0885-3924(01)00297-4.
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[Coeliac plexus block in patients with pancreatic tumour pain].[胰腺肿瘤疼痛患者的腹腔神经丛阻滞]
Ned Tijdschr Geneeskd. 2006 Apr 1;150(13):723-8.
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Improving palliation in pancreatic cancer: intraoperative celiac plexus block for pain relief.改善胰腺癌的姑息治疗:术中腹腔神经丛阻滞以缓解疼痛。
South Med J. 1991 Apr;84(4):469-71. doi: 10.1097/00007611-199104000-00014.
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Comparative study between 2 protocols for management of severe pain in patients with unresectable pancreatic cancer: one-year follow-up.两种不可切除胰腺癌患者重度疼痛管理方案的对比研究:一年随访。
Clin J Pain. 2013 Sep;29(9):807-13. doi: 10.1097/AJP.0b013e3182757673.
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A review of the thoracic splanchnic nerves and celiac ganglia.胸部内脏神经和腹腔神经节述评。
Clin Anat. 2010 Jul;23(5):512-22. doi: 10.1002/ca.20964.

引用本文的文献

1
Radiofrequency Ablation and Alcohol Neurolysis of the Splanchnic Nerves for a Patient With Abdominal Pain From Pancreatic Cancer.经皮射频消融及酒精内脏神经松解术治疗胰腺癌腹痛患者
Cureus. 2020 Oct 1;12(10):e10758. doi: 10.7759/cureus.10758.
2
Celiac plexus block increases quality of life in patients with pancreatic cancer.腹腔神经丛阻滞可提高胰腺癌患者的生活质量。
J Pain Res. 2019 Jan 14;12:307-315. doi: 10.2147/JPR.S186659. eCollection 2019.
3
Invasive treatment of pain associated with pancreatic cancer on different levels of WHO analgesic ladder.
世界卫生组织镇痛阶梯不同级别下胰腺癌相关疼痛的侵入性治疗
BMC Surg. 2016 Apr 18;16:20. doi: 10.1186/s12893-016-0136-3.
4
Celiac plexus neurolysis in the management of unresectable pancreatic cancer: when and how?腹腔神经丛松解术在不可切除胰腺癌治疗中的应用:时机与方法?
World J Gastroenterol. 2014 Mar 7;20(9):2186-92. doi: 10.3748/wjg.v20.i9.2186.
5
Pain management in pancreatic cancer.胰腺癌的疼痛管理。
Cancers (Basel). 2010 Dec 24;3(1):43-60. doi: 10.3390/cancers3010043.
6
Endoscopic ultrasound-guided celiac plexus neurolysis.内镜超声引导下腹腔神经丛神经松解术。
World J Gastrointest Endosc. 2010 Jun 16;2(6):228-31. doi: 10.4253/wjge.v2.i6.228.
7
Endoscopic ultrasonography guided celiac plexus neurolysis and celiac plexus block in the management of pain due to pancreatic cancer and chronic pancreatitis.内镜超声引导下腹腔神经丛松解术和腹腔神经丛阻滞术在胰腺癌和慢性胰腺炎所致疼痛治疗中的应用
World J Gastroenterol. 2007 Jul 14;13(26):3575-80. doi: 10.3748/wjg.v13.i26.3575.
8
Techniques and results of neurolysis for chronic pancreatitis and pancreatic cancer pain.慢性胰腺炎和胰腺癌疼痛的神经松解术技术与结果
Curr Gastroenterol Rep. 2006 Apr;8(2):99-103. doi: 10.1007/s11894-006-0004-x.
9
Bilateral thoracoscopic splanchnicectomy in chronic intestinal pseudo-obstruction: report of two paediatric cases.慢性肠梗阻双侧胸腔镜内脏神经切除术:两例儿科病例报告
Gut. 2006 Feb;55(2):293-4. doi: 10.1136/gut.2005.082024.
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Thoracoscopic splanchnicectomy for pain control in patients with unresectable carcinoma of the pancreas.胸腔镜内脏神经切除术用于无法切除的胰腺癌患者的疼痛控制
Surg Endosc. 2000 Aug;14(8):717-20. doi: 10.1007/s004640000185.