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首页> 外文期刊>The American journal of hospice and palliative care >Video-assisted thoracoscopic neurectomy of intercostal nerves in a patient with intractable cancer pain.
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Video-assisted thoracoscopic neurectomy of intercostal nerves in a patient with intractable cancer pain.

机译：难治性癌症疼痛患者的胸腔镜神经辅助电视胸腔镜神经切除术。

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摘要

Cancer-related pain is complicated and unbearable. Pain management techniques must be constantly modified and improved, with the goal of decreasing pain and enabling patients to withstand it. A 56-year-old man with colon cancer and multiple metastases was suffering from intense pain that was not relieved by extremely high doses of intravenous morphine. Temporary pain relief was achieved twice by blockade of the intercostal nerves with local anesthetics. Radiofrequency ablation was then performed under fluoroscopic monitoring; however, the procedure resulted in little pain relief. Finally, a neurectomy to cauterize the intercostal nerves was completed with video-assisted thoracoscopy under general anesthesia.
机译：癌症相关的疼痛是复杂且难以忍受的。必须不断修改和改善疼痛管理技术，以减轻疼痛并使患者能够承受疼痛。一名56岁的患有结肠癌和多处转移的男人正遭受剧烈疼痛，而这种剂量无法通过极高剂量的吗啡静脉注射来缓解。通过局部麻醉剂阻断肋间神经，可以暂时缓解疼痛。然后在荧光检查下进行射频消融;但是，该过程几乎没有缓解疼痛。最后，在全麻下用电视辅助胸腔镜完成了烧灼肋间神经的神经切除术。

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