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[旨在缓解肾源性骨转移疼痛的治疗性或姑息性栓塞术]

[Therapeutic or palliative embolization aimed at analgesia for bone metastases of renal origin].

作者信息

Trèves R, Legoff J J, Doyon D, Chasle G, Arnaud M, Jacob P, Burki F, Desproges-Gotteron R

出版信息

Rev Rhum Mal Osteoartic. 1984 Jan;51(1):1-5.

PMID:6198711
Abstract

In addition to the chemotherapy, surgery and physical treatments usually employed in the treatment of bony secondaries from renal tumours, the authors propose embolization. They have performed this procedure in 4 patients, using a mixture of isobutyl-2-cyanoacrylate and lipiodol. Arteriography is performed before and after the embolization which is carried out under local anaesthesia. Disappearance or relief of pain was obtained in each case. This technique in no way changes the prognosis of the disease, but it can improve the quality of life of these patients. A review of the literature reveals that metastases other than renal have already been embolized, as have primary malignant bone tumours. The authors describe their method, the incidents associated with treatment, the contra-indications and the supposed mechanism of the analgesic action of embolization.

摘要

除了通常用于治疗肾肿瘤骨转移的化疗、手术和物理治疗外,作者们还提出了栓塞治疗。他们使用异丁基-2-氰基丙烯酸酯和碘油的混合物,对4例患者进行了该手术。栓塞前后均进行动脉造影,手术在局部麻醉下进行。每例患者的疼痛均消失或缓解。该技术绝不会改变疾病的预后,但可以改善这些患者的生活质量。文献综述显示,除肾转移瘤外,其他转移瘤以及原发性恶性骨肿瘤均已进行过栓塞治疗。作者们描述了他们的方法、与治疗相关的事件、禁忌症以及栓塞止痛作用的推测机制。

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