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超声引导下实时翼腭窝阻滞用于口腔癌患者的镇痛

Ultrasound-Guided Real-Time Pterygopalatine Block for Analgesia in an Oral Cancer Patient.

作者信息

Gupta Nishkarsh, Dattatri Rohini, Bharati Sachidanand Jee, Bhatnagar Sushma

机构信息

Department of Onco-Anaesthesiology and Palliative Medicine, Dr BRAIRCH, AIIMS, New Delhi, India.

出版信息

Indian J Palliat Care. 2018 Jan-Mar;24(1):112-114. doi: 10.4103/IJPC.IJPC_150_17.

DOI:10.4103/IJPC.IJPC_150_17
PMID:29440818
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5801616/
Abstract

Oral cancers are one of the most common cancers in India. These patients have pain during the course of the disease. Various drugs including opioid and nonsteroidal anti-inflammatory drug have been used to manage pain. However, these are associated with side effects such as constipation and vomiting. An early interventional block may decrease the requirement for analgesics and improve the overall quality of life. We describe a case of oral carcinoma successfully managed with ultrasound-guided pterygopalatine block.

摘要

口腔癌是印度最常见的癌症之一。这些患者在疾病过程中会出现疼痛。包括阿片类药物和非甾体抗炎药在内的各种药物已被用于控制疼痛。然而,这些药物会带来便秘和呕吐等副作用。早期介入性阻滞可能会减少镇痛药的需求并改善整体生活质量。我们描述了一例通过超声引导翼腭神经节阻滞成功治疗的口腔癌病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3b2/5801616/970e03dd793c/IJPC-24-112-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3b2/5801616/970e03dd793c/IJPC-24-112-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3b2/5801616/970e03dd793c/IJPC-24-112-g001.jpg

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本文引用的文献

1
The pterygopalatine fossa: imaging anatomy, communications, and pathology revisited.翼腭窝:影像学解剖、连通关系及病理学再探讨
Insights Imaging. 2016 Aug;7(4):589-99. doi: 10.1007/s13244-016-0498-1. Epub 2016 May 26.
2
Ultrasound-Guided Pulsed Radiofrequency Application via the Pterygopalatine Fossa: A Practical Approach to Treat Refractory Trigeminal Neuralgia.经翼腭窝超声引导下脉冲射频应用:治疗难治性三叉神经痛的实用方法
Pain Physician. 2015 May-Jun;18(3):E411-5.
3
Ultrasound-guided trigeminal nerve block via the pterygopalatine fossa: an effective treatment for trigeminal neuralgia and atypical facial pain.
超声引导翼腭窝三叉神经阻滞术:治疗三叉神经痛和非典型面痛的有效方法。
Pain Physician. 2013 Sep-Oct;16(5):E537-45.
4
Oral cancer in India continues in epidemic proportions: evidence base and policy initiatives.印度的口腔癌仍呈流行趋势:循证基础和政策举措。
Int Dent J. 2013 Feb;63(1):12-25. doi: 10.1111/j.1875-595x.2012.00131.x. Epub 2012 Dec 13.
5
Biologic mechanisms of oral cancer pain and implications for clinical therapy.口腔癌痛的生物学机制及其对临床治疗的意义。
J Dent Res. 2012 May;91(5):447-53. doi: 10.1177/0022034511424156. Epub 2011 Oct 4.
6
Ultrasound guidance for deep peripheral nerve blocks: a brief review.超声引导下深部周围神经阻滞:简要综述。
Anesthesiol Res Pract. 2011;2011:262070. doi: 10.1155/2011/262070. Epub 2011 Jul 27.
7
The WHO analgesic ladder for cancer pain control, twenty years of use. How much pain relief does one get from using it?世界卫生组织用于控制癌痛的镇痛阶梯,应用二十年。使用该阶梯能减轻多少疼痛?
Support Care Cancer. 2006 Nov;14(11):1086-93. doi: 10.1007/s00520-006-0086-x. Epub 2006 Jun 8.
8
Pelvic cancer pain.盆腔癌疼痛。
J Surg Oncol. 2000 Dec;75(4):280-300. doi: 10.1002/1096-9098(200012)75:4<280::aid-jso13>3.0.co;2-q.
9
Long-term changes induced by high-dose irradiation of the head and neck region: imaging findings.
Radiographics. 1997 Jan-Feb;17(1):5-26. doi: 10.1148/radiographics.17.1.9017796.