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암성 골반통에 대한 경추간판적 상하복 신경통차단술의 효과

Other Titles
 Trans-intervertebral Disc approach of superior hypogastric plexus block for pelvic cancer pain : A retrospective study 
 이윤우  ;  윤덕미  ;  이기문  ;  한승탁  ;  박혜진 
 Korean Journal of Pain (대한통증학회지), Vol.13(2) : 202-207, 2000 
Journal Title
 Korean Journal of Pain (대한통증학회지) 
Issue Date
Pain ; Pelvic ; Cancer ; Technique ; Superior Hypogastric Plexus Block ; Trans-Intervertebro-discal Approach
Background: Superior hypogastric plexus block has been advocated as a useful technique for the treatment of cancer related pelvic pain. The aim of this study was to evaluate the effect of neurolytic trans-intervertebrodiscal superior hypogastric plexus block for pelvic cancer pain. Methods: Twenty-eight patients with gynecologic, colorectal or genitourinary cancer who suffered intractable pain were studied. We performed superior hypogastric plexus block by trans-intervertebrodiscal approach at L5/S1 level under the C-arm fluoroscopic guide unilaterally or bilaterally. Ten ml of 100% dehydrated alcohol was injected through each needle. We evaluated the change of visual analog pain score (VAS; 0~100 mm) and daily dose of oral morphine sulphate at the time of pre-block and 7 days after the block. Results: Fourteen patients (50%) had satisfactory pain relief (VAS<30) while five patients (18%) had moderate pain control (VAS 30~60). The remaining nine patients (32%) had mild or little pain relief (VAS>60) and their daily oral morphine doses were above 160 mg. Additional pain control method may be needed for those patients who received high dose of opioid before neurolytic block. Conclusions: We conclude trans-intervertebrodiscal neurolytic superior hypogastric plexus block was effective in relieving pelvic cancer pain. Neurolytic block, earlier stage, may provide better effects for more comfortable life at the end stage for cancer patients.
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1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Yoon, Duck Mi(윤덕미)
Lee, Youn Woo(이윤우)
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