癌症疼痛微创治疗的现状与进展  

Current status and progress of minimally invasive treatment of cancer pain

作　　者：薛朝霞[1] Xue Zhaoxia(Department of Painology,the First Hospital of Shanxi Medical University,Taiyuan City,Shanxi Province 030001,China)

机构地区：[1]山西医科大学第一医院疼痛科,太原市030001

出　　处：《中华疼痛学杂志》2020年第2期147-151,共5页Chinese Journal Of Painology

摘　　要：癌症相关疼痛发病率高,按照WHO镇痛阶梯规范治疗后仍有约20%~30%患者存在镇痛不全或者药物副作用难以耐受。针对癌痛的微创介入治疗包括周围神经阻滞毁损术、植入式脊髓给药系统、椎体成型术、神经调控技术等。当口服药物不能提供充分的镇痛或者其副作用无法耐受时,微创介入疼痛治疗均应被考虑进行。本综述在查阅相关文献报道及临床指南基础上,较为系统地阐述了各种癌痛微创介入治疗的时机、适应范围及证据水平,以期能对临床医生提供帮助。Cancer-related pain has a high incidence,20%-30%patients with cancer pain still have insufficient analgesia or unbearable side effects of drugs after the treatment according to WHO analgesia ladder standard.For cancer pain,minimally invasive interventional therapy including peripheral nerve block neurolysis,implantable drug delivery system,vertebroplasty,and neuromodulation techniques should be considered when oral medications can't provide adequate analgesia or has an intolerable side effects.Based on relevant literature reports and clinical guidelines,this review systematically describes the timing of minimally invasive interventional therapy and the indications and evidence of each technical method,so as to provide references for clinicians.

关 键 词：癌症相关疼痛 植入式脊髓给药系统 周围神经阻滞 射频热凝术 化学毁损 椎体成型术 神经调控技术 

分 类 号：R730[医药卫生—肿瘤]