Evidence-based interventional pain management techniques commonly used in clinical cancer pain
10.3760/cma.j.issn.1673-422X.2016.10.013
- VernacularTitle:基于循证医学的临床常用癌痛微创介入技术
- Author:
Kai JI
;
Yuejuan SHAO
;
Kun WANG
- Publication Type:Journal Article
- Keywords:
Neoplasms;
Pain;
Surgical procedures,minimally invasive
- From:
Journal of International Oncology
2016;43(10):775-778
- CountryChina
- Language:Chinese
-
Abstract:
Cancer pain can seriously disturb patients′quality of life.Intractable cancer pain not ame-nable to standard analgesics is a horrifying truth in parts of the patients.Interventional pain management tech-niques can be an effective alternative for those patients.Based on the evidence of evidence-based medicine, celiac plexus block or splanchnic nerve block are recommended for the management of upper abdominal cancer pain,pelvic cancer pain can be managed with superior hypogastric plexus block,and back pain due to vertebral compression fractures with tumor invasion can be managed with percutaneous vertebroplasty or kyphoplasty. Intercostal nerve block for chest wall cancer pain,ganglion impar block and saddle block for perineal pain due to pelvic tumors should be used only in the context of an experimental study or in cases of compassionate use with no other available forms of effective pain relief.