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射频热凝术治疗顽固性癌性神经痛的临床研究 被引量:16

THE ROLE OF RADIOFREQUENCY IN THE TREATMENT OF PATIENTS WITH NEUROPATHIC CANCER PAIN
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摘要 目的:探讨射频热凝术用于治疗癌性神经痛的疗效及安全性。方法:42例癌性神经痛患者,A组患者(n=20)按三阶梯疗法,采用吗啡药物治疗,B组患者(n=22)在吗啡加用局麻下行射频温控热凝毁损治疗。分别就治疗后疗效、生活质量改善情况及安全性进行评估。结果:B组患者在不同治疗时期的总有效率明显高于A组(P<0.05),生活质量的改善较A组有显著性差异,副作用的发生率较A组低。结论:射频热凝治疗癌性神经痛是一种安全有效的微创介入治疗方法。 Objective:To investigate the efficacy and safety of radiofrequency in the treatment of neuropathic cancer pain. Methods: 42 cases of cancer patients who had failed to relief pain with Diclofenac and anticonvulsants were divided into two groups randomly and treated by morphine (group A, n = 20) and morphine combined with radiofrequency (group B, n = 22) respectively. The total consumption of the antalgesic and quality of life were observed to evaluate efficacy and safety of these drugs. Results: The total efficiency in group B was significandy higher than that in group A ( P 〈 0.05 ), and there were more improvements in life quality of patients and less side effects in group B than that in group A. Conclusion: Radiofrequency can be used in treating the neuropathic cancer pain efficiendy and safely.
出处 《中国疼痛医学杂志》 CAS CSCD 北大核心 2007年第3期140-143,共4页 Chinese Journal of Pain Medicine
基金 佛山市科委立项课题(200404-14)
关键词 射频热凝 神经源性疼痛 癌症 Radiofrequency Neuropathic pain Cancer
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参考文献6

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