THE EFFICACY OF CT-GUIDED PERCUTANEOUS CORDOTOMY ON INTRACTABLE PAIN IN PATIENTS WITH LUNG CANCER

Bozok tıp dergisi Pub Date : 2023-09-11 DOI:10.16919/bozoktip.1329518

Ferhat EGE, Mert AKBAS, Gözde DAĞISTAN

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Abstract

ABSTRACT Aim This study was carried out to evaluate the efficacy of CT-guided percutaneous cordotomy and postoperative complications in the treatment of intractable pain associated with lung cancer. Material &Method Computed tomography (CT) guided-cordotomy was performed on 10 lung cancer patients unresponsive to medical and interventional pain management methods. Results The mean pretreatment and post treatment visual analogue scale (VAS) scores of the patients were determined as 10 ± 0.0001 and 1.00 ± 0.67, respectively. Additionally, the mean pretreatment and posttreatment Karnofsky Performance Scale (KPS) scores of the patients were calculated as 40± 9.42 and 73±10.59, respectively. Accordingly, there was a statistically significant difference between the pretreatment and posttreatment VAS and KPS scores. Furthermore, the mean pretreatment and posttreatment morphine equivalent dose of the patients were found as 860.2±199.8 mg and 220.7±69.08 mg, respectively. Conclusion The findings of this study suggest that cordotomy is a valuable treatment option for intractable pain problems in patients suffering from lung cancer.

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ct引导下经皮脊髓切开术治疗肺癌患者顽固性疼痛的疗效观察

摘要# x0D;& # x0D;目标# x0D;本研究旨在评价ct引导下经皮脊髓切开术治疗肺癌伴顽固性疼痛的疗效及术后并发症。& # x0D;& # x0D;材料和方法# x0D;对10例对药物及介入性疼痛治疗无反应的肺癌患者行CT引导下的脊髓切开术。& # x0D;结果# x0D;患者治疗前和治疗后视觉模拟评分(VAS)的平均值分别为10±0.0001和1.00±0.67。治疗前后KPS (Karnofsky Performance Scale)评分分别为40±9.42分和73±10.59分。因此，治疗前与治疗后的VAS和KPS评分差异有统计学意义。患者吗啡治疗前和治疗后的平均等效剂量分别为860.2±199.8 mg和220.7±69.08 mg。 & # x0D;结论# x0D;本研究结果提示，对于肺癌患者的难治性疼痛问题，脊髓切开术是一种有价值的治疗选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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