丘脑枕加扣带回联合毁损术治疗癌性疼痛  

Cooperation of pulvinar damage and bilateral anterior cingulotomy for the treament of cancer pain

作　　者：沈旭辉[1] 刘会[1] 王天成[1] 

机构地区：[1]辽宁省人民医院神经外一科,辽宁沈阳110016

出　　处：《中国医学工程》2013年第12期14-14,16,共2页China Medical Engineering

摘　　要：目的研究丘脑枕加扣带回联合毁损术治疗癌性疼痛的临床应用。方法癌性疼痛10例,包括肺癌5例,乳腺癌2例,骨癌2例,腮腺肿瘤1例,局麻下联合毁损疼痛对侧丘脑枕和双侧扣带回前部,采用直观模拟疼痛量表(VAS)和McGill疼痛问卷量表(MPQ)分别在术前和术后进行疼痛评分,同时记录手术前后患者使用止痛药物的种类和最大剂量,将术后不同时间的VAS、MPQ评分与术前评分进行比较,采用小样本自身配对t检验。结果术后患者疼痛基本消失,不需使用止痛药物。术后6个月止痛效果稳定,VAS评分、MPQ评分较术前明显降低(P<0.01),无严重并发症发生。结论丘脑枕加扣带回联合毁损术能有效消除癌性疼痛。【Objective】A study on the cocperation of pulvinar damage and bilateral anterior cingulotomy for the treatment of cancer pain. 【Methods】Ten patients with cancer pain, 5 cases of lung cancer,2 case of breast cancer,2 case of bone cancer,1 case of parotid tumor,were treated using the cooperation of pulvinar damage and bilateral anterior cingulotomy.The visual analog scale（VAS） and the McGill pain questionnaire（MPQ） were used for preoperative and postoperative evaluation of the pain status of each patient. Statistical analyses were conducted using paired-samples t test.【Resluts】The short-term（6 months） follow-up results indicated a significant reduction in patients, pain scales（P0.01）.There were no serious complication.【Conclusion】The cooperation of pulvinar damage and bilateral anterior cingulotomy is an effective means for relieving cancer pain.

关 键 词：扣带回毁损术 丘脑枕毁损术 癌痛 

分 类 号：R979.1[医药卫生—药品]