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乙醇用于癌症疼痛的臂丛神经化学性神经溶解术

Brachial Plexus Chemical Neurolysis with Ethanol for Cancer Pain.

作者信息

Loh Tuan-Hsing, Patel Samir, Mirchandani Anish, Eckmann Maxim

机构信息

Department of Anesthesiology, University of Texas Health Science Center at San Antonio (UTHSCSA), San Antonio, TX, USA.

出版信息

Case Rep Med. 2018 Jul 24;2018:8628645. doi: 10.1155/2018/8628645. eCollection 2018.

DOI:10.1155/2018/8628645
PMID:30140288
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6081596/
Abstract

Chemical neurolytic nerve blocks have been successfully used to treat a variety of cancer-related pain. However, the literature has been sparse regarding neurolysis of the brachial plexus for cancer pain. We present a unique case report of a successful chemical neurolysis of the brachial plexus with dehydrated ethanol for a patient suffering from metastatic mammary carcinoma with tumor invasion of the right brachial plexus.

摘要

化学性神经溶解阻滞已成功用于治疗多种癌症相关疼痛。然而，关于臂丛神经溶解治疗癌症疼痛的文献却很稀少。我们报告了一例独特的病例，一名患有转移性乳腺癌且肿瘤侵犯右侧臂丛神经的患者，通过使用无水乙醇成功进行了臂丛神经化学性溶解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a26c/6081596/4bcd3cbf7424/CRIM2018-8628645.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a26c/6081596/ac93e50b8606/CRIM2018-8628645.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a26c/6081596/4bcd3cbf7424/CRIM2018-8628645.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a26c/6081596/ac93e50b8606/CRIM2018-8628645.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a26c/6081596/4bcd3cbf7424/CRIM2018-8628645.002.jpg

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本文引用的文献

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The Effectiveness of Alcohol Versus Phenol Based Splanchnic Nerve Neurolysis for the Treatment of Intra-Abdominal Cancer Pain.酒精与苯酚内脏神经松解术治疗腹腔内癌痛的疗效比较
Pain Physician. 2016 May;19(4):281-92.
2
Brachial Plexus Block for Cancer-Related Pain: A Case Series.臂丛神经阻滞用于癌症相关疼痛：病例系列
Pain Physician. 2015 Sep-Oct;18(5):E917-24.
3
Peripheral and Neuraxial Chemical Neurolysis for the Management of Intractable Lower Extremity Pain in a Patient with Terminal Cancer.外周和神经轴化学性神经溶解术治疗晚期癌症患者顽固性下肢疼痛
Pain Physician. 2015 Jul-Aug;18(4):E651-6.
4
Evidence-based Clinical Practice Guidelines for Interventional Pain Management in Cancer Pain.癌症疼痛介入性疼痛管理的循证临床实践指南
Indian J Palliat Care. 2015 May-Aug;21(2):137-47. doi: 10.4103/0973-1075.156466.
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Selective infraclavicular brachial plexus phenol injection for the relief of cancer pain.
Anesthesiology. 2015 May;122(5):1153. doi: 10.1097/ALN.0000000000000380.
6
Obturator neurolysis using 65% alcohol for adductor muscle spasticity.使用65%酒精进行闭孔神经松解术治疗内收肌痉挛。
Saudi J Anaesth. 2012 Jul;6(3):282-4. doi: 10.4103/1658-354X.101223.
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The evolving role of interventional pain management in oncology.介入性疼痛管理在肿瘤学中不断演变的作用。
J Support Oncol. 2004 Nov-Dec;2(6):491-500, 503.
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Neurolysis of the musculocutaneous nerve with alcohol to treat poststroke elbow flexor spasticity.用酒精对肌皮神经进行神经松解术治疗中风后肘屈肌痉挛。
Arch Phys Med Rehabil. 1999 Oct;80(10):1234-6. doi: 10.1016/s0003-9993(99)90021-7.