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经皮脊髓神经电凝术治疗癌痛

[Treatment of cancer pain with the percutaneous electrocoagulation of spinal nerves].

作者信息

Ooseto K, Nishina H, Shiotani M, Naganuma Y, Karasawa H, Oono K, Yuda Y, Wakasugi B

机构信息

Department of Pain Clinic, Kanto Teishin Hospital, Tokyo.

出版信息

Masui. 1993 Aug;42(8):1177-83.

PMID:8366558
Abstract

To our knowledge, this is the first report of high-frequency thermocoagulation applied to the spinal root. We treated 34 patients suffering from cancer pain with this technique. Among these patients, cancer pain occurred due to intrapelvic metastasis in 11 patients, and 13 complained of chest pain due to cancer. Every patient was considered to have good or excellent response when his or her pain score was reduced to 6 points or less from the score before thermocoagulation; 10 points. Based on this criterion, 54.5% and 30.8% of the above-mentioned patients showed good and excellent responses respectively one month after treatment. This technique, therefore, was considered to be effective with less side effects compared with other nerve blocking techniques.

摘要

据我们所知,这是高频热凝应用于脊神经根的首次报告。我们用该技术治疗了34例癌痛患者。在这些患者中,11例因盆腔内转移出现癌痛,13例因癌症主诉胸痛。当每位患者的疼痛评分从热凝前的10分降至6分或更低时,每位患者均被认为有良好或极好的反应。基于这一标准,上述患者分别在治疗后1个月有54.5%和30.8%表现出良好和极好的反应。因此,与其他神经阻滞技术相比,该技术被认为有效且副作用较小。

相似文献

1
[Treatment of cancer pain with the percutaneous electrocoagulation of spinal nerves].经皮脊髓神经电凝术治疗癌痛
Masui. 1993 Aug;42(8):1177-83.
2
[Elimination of pain by percutaneous thermorhizolysis in patients with inoperable bronchial carcinoma (author's transl)].经皮热凝术消除无法手术的支气管癌患者疼痛(作者译)
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Dorsal root entry zone (DREZ) localization using direct spinal cord stimulation can improve results of the DREZ thermocoagulation procedure for intractable pain relief.使用直接脊髓刺激进行背根入髓区(DREZ)定位可改善DREZ热凝术缓解顽固性疼痛的效果。
Pain. 2005 Jul;116(1-2):159-63. doi: 10.1016/j.pain.2005.03.015.
4
[The effect of DREZ (dorsal root entry zone) lesions on intractable pain in patients with spinal cord injury].[脊髓背根入髓区(DREZ)损伤对脊髓损伤患者顽固性疼痛的影响]
Masui. 1990 May;39(5):632-8.
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Thermocoagulation of the dorsal root entry zone for the treatment of intractable pain.用于治疗顽固性疼痛的背根入髓区热凝术。
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6
[Neurosurgical treatment of pain].[疼痛的神经外科治疗]
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[Percutaneous thermocoagulation of sensory lumbar nerve roots in the treatment of pain].[经皮热凝腰段感觉神经根治疗疼痛]
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8
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Dorsal root entry zone lesions for the control of deafferentation pain: experiences in ten patients.用于控制去传入性疼痛的背根入髓区损伤:10例患者的经验
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[Percutaneous thermocoagulation of the spinal nerves for analgesia].[经皮脊髓神经热凝术用于镇痛]
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