局部注射皮质类固醇治疗肿瘤患者的恶性关节疼痛：病例系列
Localized Corticosteroid Injections for Malignant Joint Pain in the Oncologic Population: A Case Series.
作者信息
Rakesh Neal, Magram Yan Cui, Shah Jay M, Gulati Amitabh
机构信息
From the Department of Rehabilitation and Regenerative Medicine, NewYork-Presbyterian Hospital - University Hospital of Columbia and Cornell, New York, New York.
Weill Cornell Tri-Institutional Pain Medicine Program, Department of Anesthesiology, Weill Cornell Medicine, New York, New York.
出版信息
A A Pract. 2019 Jul 1;13(1):27-30. doi: 10.1213/XAA.0000000000000977.
Pain is a common issue that is present in cancer survivors as well as those with active malignant processes. Despite opioid analgesics and adjuvant therapies such as systemic corticosteroids, many patients have persistent localized pain. We describe a case series of 3 cancer patients who have concurrent hip- and greater trochanteric-related pain. We performed a single-insertion-site, ultrasound-guided injection to target both the intra-articular hip and greater trochanteric bursa for each patient. All patients reported an improvement in pain symptoms and function with no major complications. Targeted corticosteroid injections provide a potential for relief of malignant joint pain.
疼痛是癌症幸存者以及患有活动性恶性肿瘤患者中常见的问题。尽管有阿片类镇痛药和辅助治疗，如全身性皮质类固醇，但许多患者仍有持续性局部疼痛。我们描述了一组3例同时患有髋关节和大转子相关疼痛的癌症患者病例。我们对每位患者进行了单穿刺点、超声引导下注射，以同时针对髋关节内和大转子滑囊。所有患者均报告疼痛症状和功能有所改善，且无重大并发症。靶向性皮质类固醇注射为缓解恶性关节疼痛提供了一种可能。
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