CT引导下向骨转移瘤内注射酒精。
Injection of alcohol into bone metastases under CT guidance.
作者信息
Gangi A, Kastler B, Klinkert A, Dietemann J L
机构信息
Department of Radiology B, University Hospital of Strasbourg, France.
出版信息
J Comput Assist Tomogr. 1994 Nov-Dec;18(6):932-5. doi: 10.1097/00004728-199411000-00016.
OBJECTIVE
Percutaneous injection of ethanol was evaluated in terminally ill cancer patients with painful osteolytic bone metastases treated previously without success by radiation or chemotherapy and conventional pain therapy.
METHODS AND MATERIALS
Twenty-five patients with 27 bone metastases in various locations underwent one to three instillations of 3-25 ml ethanol (95%) under CT guidance, which allowed precise needle positioning and control of the diffusion of alcohol thus minimizing the complications.
RESULTS
Within 24 to 48 h 74% of the cases experienced a reduction of analgesic needs.
CONCLUSION
Percutaneous ethanol injection under CT guidance is useful in reducing pain and in improving the quality of life of patients with advanced stages of cancer and painful bone metastases.
目的
对终末期癌症患者进行经皮乙醇注射评估，这些患者患有疼痛性溶骨性骨转移，此前接受放疗、化疗及传统疼痛治疗均未成功。
方法与材料
25例患者共27处不同部位的骨转移灶，在CT引导下接受1至3次3 - 25毫升乙醇（95%）注射，CT引导可实现精确的针定位并控制酒精扩散，从而将并发症降至最低。
结果
24至48小时内，74%的病例镇痛需求减少。
结论
CT引导下经皮乙醇注射有助于减轻晚期癌症伴疼痛性骨转移患者的疼痛并改善其生活质量。
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