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15 岁患者因内脏腹痛癌症行双侧内脏神经射频消融术。

Radiofrequency ablation of bilateral splanchnic nerves in a 15-year-old patient with visceral abdominal pain cancer.

机构信息

Clinica Foscal Internacional, Floridablanca, Colombia.

ALIVIAR SAS Pain & Palliative Care Clinic, Floridablanca, Colombia.

出版信息

Pain Manag. 2024;14(8):407-412. doi: 10.1080/17581869.2024.2406217. Epub 2024 Oct 8.

Abstract

Pain, a prevalent and debilitating symptom in cancer patients, significantly diminishes the quality of life for both individuals and their families. Addressing this critical issue, our study presents the case of a 15-year-old diagnosed with synchronous multifocal multicentric osteosarcoma. We utilized radiofrequency ablation of bilateral splanchnic nerves, a strategy of multimodal pain and palliative care. This approach not only proved to be safe and effective but also markedly improved the patient's quality of life. Our findings shine a light of hope, emphasizing the paramount importance of innovative pain management in pediatric oncology, especially in the final stages of life. This case report highlights the unwavering dedication to excellence in relieving suffering, offering hope for patients grappling with cancer.

摘要

疼痛是癌症患者普遍存在且衰弱的症状,极大地降低了患者及其家庭的生活质量。针对这一关键问题,我们的研究报告了一例 15 岁诊断为同步多灶性多中心骨肉瘤的病例。我们采用双侧内脏神经射频消融术,结合多模式疼痛和姑息治疗策略。该方法不仅安全有效,而且显著提高了患者的生活质量。我们的研究结果带来了希望,强调了在儿科肿瘤学中采用创新疼痛管理的重要性,尤其是在生命的最后阶段。本病例报告强调了在缓解痛苦方面追求卓越的坚定决心,为与癌症作斗争的患者带来了希望。

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本文引用的文献

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Regional blocks for pain control at the end of life in pediatric oncology.儿童肿瘤终末期疼痛控制的区域阻滞
Front Pain Res (Lausanne). 2023 Mar 21;4:1127800. doi: 10.3389/fpain.2023.1127800. eCollection 2023.
2
Fluoroscopy-Guided Splanchnic Nerve Block for Cancer-Associated Pain.荧光透视引导下内脏神经阻滞治疗癌痛
Cureus. 2022 Oct 31;14(10):e30944. doi: 10.7759/cureus.30944. eCollection 2022 Oct.
4
Pediatric Osteosarcoma: An Updated Review.小儿骨肉瘤:最新综述
Indian J Med Paediatr Oncol. 2017 Jan-Mar;38(1):33-43. doi: 10.4103/0971-5851.203513.
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The measurement of symptoms in children with cancer.癌症患儿症状的测量。
J Pain Symptom Manage. 2000 May;19(5):363-77. doi: 10.1016/s0885-3924(00)00127-5.

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