摘要
目的 :探讨体腔镜胸交感神经链切断术治疗晚期胰腺癌疼痛的疗效。方法 :选择晚期胰腺癌疼痛的患者 ,1 2例均在全麻双腔支气管插管麻醉下 ,经体腔镜行胸腔内脏交感神经链切断术 ,结果 :6例术前重度疼痛者 ,术后疼痛完全消失 ,随访 4～ 6月无复发 ;6例极度疼痛者 ,术后 8月内完全无痛。患者饮食、睡眠、精神状态均有明显改善 ,体重增加 1～ 3kg。病人术后恢复良好 ,无其它并发症。结论 :晚期胰腺癌疼痛的患者 ,均可选择用体腔镜行交感神经链切断术 ,可有效控制疼痛 。
Objective: The therapeutic effect of celioscopic thoracic sympathetic ganglionectomy to relieve the pain of patients with advanced pancreatic cancer was evaluated. Method: Twelve patients with pancreatic cancer and intractable pain in their advanced stage were included. All of them received general anesthesia when performing celioscopic thoracic sympathetic ganglionectomy. Result: Half of the patients who suffered serious pain before operation felt no pain during early postoperative course and had not got a relapse at a follow up of 4～6 months. Another six of the twelve patients suffering extreme pain before operation were able to return to their uneventful lifestyle in 8 months after ganglionectomy. In addition, all patients improved their diet, sleeping and mental status without any complications. Conclusion: Celioscopic thoracic sympathetic ganglionectomy is an effective procedure for pain relief in patients with advanced pancreatic cancer.
出处
《中国疼痛医学杂志》
CAS
CSCD
2000年第3期130-132,共3页
Chinese Journal of Pain Medicine
关键词
体腔镜
交感神经链切断术
晚期胰腺癌
疼痛
Celioscope
Thoracic sympathetic nerve
Pancreatic cancer in advanced stage
Pain relief
