자궁경부암 환자에서 상하복신경총의 고주파 열응고술 치료경험 증례 보고
Percutaneous Radiofrequency Thermocoagulation of the Superior Hypogastric Plexus in the Treatment of Cervical Caner Pain A case report
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Abstract
Superior hypogastric plexus block (SHGPB) with neurolytics, such as absolute alcohol or phenol, have been known to be highly effective in patients with pelvic cancer affected by somatic and segmental pain or by perineal pain. However, these neurolytics can cause direct tissue damage to occur by spread of the neurolytic solution to the surrounding area. In the case of a 59-year-old female, who has suffered from severe lower abdominal pain (VAS 9-10) due to the metastasis of cervical caner, SHGPB was successfully performed SHGPB using a percutaneous radiofrequency thermocoagulation method (less than VAS 3). It is suggested that SHGPB by radiofrequency thermocoagulation appears to be a safe and effective procedure for the management of lower abdominal pain related to malignancy, without the complication of neurolytics.
참고문헌 (16)
- "Essensials of pain medicine and regional anesthesia", pp.329~331 (1999), Churchill Livingstone
- "Critical evaluation of chemical neurolysis of the sympathetic axis for cancer pain", 7, pp.142~148 (2000)
- "Neural blockade for abdominopelvic pain of oncologic origin", 36, pp.87~104 (1998)
- "Neurolytic superior hypogastric plexus block for chronic pelvic pain associated with cancer", 22, pp.562~568 (1997)
- "Superior hypogastric plexus block successfully treats severe penile pain after transurethral resection of the prostate", 23, pp.618~620 (1998)
- "Selective percutaneous thermocoagulation rhizotomy", 55, pp.575~80 (1981)
- "Superior hypogastric plexus block: a new therapeutic approach for pelvic pain. In: Interventional pain management", pp.528~531 (2001), W.B. Saunders
- "Radiographic imaging for regional anesthesia and pain management", pp.231~237 (2003), Churchill Livingstone
- "Sympathetic blockade for the relief of chronic pain", 99, pp.698~703 (2001)
- "Pain mechanisms involved and outcome in advanced cancer patients with possible indications for celiac plexus block and superior hypogastric plexus block", 88, pp.243~245 (2002)
- "CT-guided superior hypogastric plexus block", 26, pp.428~431 (2002)
- "Laparoscopic presacral neurolysis for endometriosis-related pelvic pain", 18, pp.588~592 (2003)
- "암성 골반통에 대한 경추간판적 상하 복신경총 차단술의 효과", 13, pp.202~207 (2000)
- "Percutaneous radiofrequency thermal lumbar sympathectomy", 8, pp.99~106 (1995)
- "Neurosurgery for trigeminal neuralgia: comparison of alcohol block neurectomy, and radiofrequency coagulation.", 12, pp.311~315 (1996)
- "고주파 열응고술을 이용한 요부교감신경 파괴술:알코올 신경 차단술과의 효과 비교", 17, pp.42~46 (2004)