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https://www.riss.kr/link?id=A3262486
2000
-
500
SCOPUS,KCI등재,SCIE
학술저널
202-207(6쪽)
0
상세조회0
다운로드다국어 초록 (Multilingual Abstract)
Background: Superior hypogastric plexus block has been advocated as a useful technique for the treatment of cancer related pelvic pain. The aim of this study was to evaluate the effect of neurolytic trans-intervertebrodiscal superior hypogastric plexu...
Background: Superior hypogastric plexus block has been advocated as a useful technique for the treatment of cancer related pelvic pain. The aim of this study was to evaluate the effect of neurolytic trans-intervertebrodiscal superior hypogastric plexus block for pelvic cancer pain. Methods: Twenty-eight patients with gynecologic, colorectal or genitourinary cancer who suffered intractable pain were studied. We performed superior hypogastric plexus block by trans-intervertebrodiscal approach at L5/Sl level under the C-arm fluoroscopic guide unilaterally or bilaterally. Ten ml of 100% dehydrated alcohol was injected through each needle. We evaluated the change of visual analog pain score (VAS; 0~100 mm) and daily dose of oral morphine sulphate at the time of pre-block and 7 days after the block. Results: Fourteen patients (50%) had satisfactory pain relief (VAS<30) while five patients (18%) had moderate pain control (VAS 30-60). The remaining nine patients (32%) had mild or little pain relief (VAS >60) and their daily oral morphine doses were above 160 mg. Additional pain control method may be needed for those patients who received high dose of opioid before neurolytic block. Conclusions: We conclude trans-intervertebrodiscal neurolytic superior hypogastric plexus block was effective in relieving pelvic cancer pain. Neurolytic block, earlier stage, may provide better effects for more comfortable life at the end stage for cancer patients.
백서를 이용한 포르말린 통증 모형하에서 뇌실 내 Gabapentin의 효과
흰쥐에서 Capsaicin 대조( Cisterna Magna ) 내 주입 후 삼차신경 유해자극수용전달로에서의 Fos 단백의 발현
백서 좌골신경에 시행한 박동성 고주파술 ( Pulsed Radiofrequency )이 급성 통증과 신경조직에 미치는 영향
신경병증성통증 모델쥐에서 냉자극 유발 통증의 교감신경성 의존도