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小小穿刺针 解除大痛苦
2017-08-18 08:57:54 中国青年网

阜新市二院疼痛科医生丁宇通过CT引导进行定位,为患者施行腹腔神经丛毁损术。
穿刺针能有啥大用途?在阜新市第二人民医院(妇产医院)医生手中,它大有作为。日前,阜新市二院成功完成首例腹腔神经丛毁损术,为一位肝癌晚期患者解除了癌痛的困扰。此项技术的开展,将为肝癌、胰腺癌等晚期癌症患者提供一种微创镇痛技术,改善患者的生存质量。
8月初,患肝癌晚期的57岁刘某腹痛难忍,即使服用了大剂量止疼药也未能缓解疼痛。在家人的陪伴下,他来到阜新市二院疼痛科就医。疼痛科会诊后认为,如果刘某接受腹腔神经丛毁损术,将可最大程度地缓解他的痛苦。
手术中,通过CT引导进行定位,疼痛科医生丁宇使用一根直径约0.5毫米的超细穿刺针,穿刺到刘某腹腔神经丛周围,然后注入药物破坏神经传导。目前,刘某已出院半个月,不需服用镇痛药物,食欲、睡眠、精神均得到明显改善。
丁宇介绍,腹腔神经丛毁损术是微创手术的一种,适用于胰腺癌、肝癌等恶性肿瘤导致的腹痛或口服镇痛药物效果不好、药物副作用反应强烈的患者。通过实施腹腔神经丛毁损术,将引起患者疼痛的内脏神经和调控疼痛的交感神经用乙醇药物毁损,阻断痛觉传导通道,从而减轻患者痛苦。
□本报记者/年旭春 文□刘宏超 摄
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