内窥镜辅助鞘内吗啡泵植入治疗癌症重度疼痛1例

摘要(中文译文)

本文介绍一例内镜辅助下鞘内吗啡泵植入术成功治疗骨转移相关癌痛的病例。患者为45岁女性，因直肠恶性肿瘤多发骨转移导致严重癌痛，传统三阶梯止痛治疗效果不佳。术前曾尝试在多个脊柱节段进行鞘内试验性穿刺，但均未能进入鞘内间隙。随后，在L5-S1节段成功实施了内镜辅助下鞘内吗啡泵植入术。术后患者疼痛获得显著且持续的缓解，生活质量明显改善。6个月随访期间未观察到明显并发症。该技术为标准泵植入操作困难的癌痛患者提供了一种新的治疗选择，具有良好的临床应用前景。

Abstract

This article presents a successful case of endoscopic-assisted intrathecal morphine pump implantation for the treatment of cancer pain associated with bone metastases. The patient was a 45-year-old female with severe cancer pain resulting from multiple bone metastases of rectal malignancy, which was poorly managed by the traditional three-step analgesic ladder. Preoperative intrathecal test puncture was attempted at multiple spinal levels but failed to access the intrathecal space. Subsequently, an endoscopic-assisted intrathecal morphine pump implantation was successfully performed at the L5-S1 level. Postoperatively, the patient achieved marked and sustained pain relief, accompanied by a dramatic improvement in her quality of life. No significant complications were observed during a 6-month follow-up. This technique provides a new therapeutic option for cancer pain patients who encounter difficulties with standard pump implantation procedures, demonstrating considerable potential for clinical application.

如何引用

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