胰腺癌术后复发病痛超声消融治疗病例
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">这是<span style="color: black;">咱们</span>昨天治疗的一个胰腺癌开刀手术后，肿瘤复发转移，腹部和腰背部<span style="color: black;">病痛</span>的<span style="color: black;">病人</span>。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">病人2019年8月因胰腺癌在北京协和医院做了胰十二指肠扩大切除术，2020年4月<span style="color: black;">病人</span>复查<span style="color: black;">发掘</span>残端复发，<span style="color: black;">同期</span>伴有腰背部<span style="color: black;">病痛</span>和腹部不适，经化疗和放疗治疗后，<span style="color: black;">病人</span>腹痛及腰背部<span style="color: black;">病痛</span><span style="color: black;">没</span><span style="color: black;">显著</span>缓解，<span style="color: black;">此刻</span>口服奥施康定片60mg <span style="color: black;">每日</span>两次，<span style="color: black;">病痛</span>依然<span style="color: black;">不可</span>很好<span style="color: black;">掌控</span>，<span style="color: black;">病人</span>专门至<span style="color: black;">咱们</span>中心就诊。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">术前CT及PET/CT<span style="color: black;">表示</span>胰腺癌手术残端肿瘤有复发，<span style="color: black;">同期</span>伴有腹膜后淋巴结肿大，<span style="color: black;">针对</span>类似的<span style="color: black;">病人</span>，治疗<span style="color: black;">方法</span><span style="color: black;">通常</span>有：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1，再次手术，<span style="color: black;">然则</span><span style="color: black;">病人</span>病灶<span style="color: black;">位置于</span>血管后方，<span style="color: black;">同期</span>有过手术病史，<span style="color: black;">通常</span>不<span style="color: black;">举荐</span>再次手术；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2，放疗，放疗<span style="color: black;">能够</span>用于腹膜后转移淋巴结，<span style="color: black;">然则</span><span style="color: black;">因为</span><span style="color: black;">病人</span>有放疗病史并且效果<span style="color: black;">不良</span>，<span style="color: black;">因此</span><span style="color: black;">亦</span>不适合；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3，化疗，<span style="color: black;">病人</span>既往经过化疗，未得到很好<span style="color: black;">掌控</span>，<span style="color: black;">因此</span>化疗<span style="color: black;">亦</span>不适合；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4，靶向治疗，胰腺癌<span style="color: black;">通常</span><span style="color: black;">无</span>很好的靶向<span style="color: black;">药品</span>，<span style="color: black;">因此</span>靶向治疗<span style="color: black;">亦</span>不适合。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">5，海扶超声消融治疗，是利用超声聚焦后形成高温，杀灭肿瘤，<span style="color: black;">同期</span>破坏腹膜后神经丛止痛，结合<span style="color: black;">病人</span>病史，是比较合适的治疗<span style="color: black;">办法</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">6，血管介入治疗，<span style="color: black;">能够</span>适用于胰腺癌治疗，<span style="color: black;">然则</span><span style="color: black;">因为</span>该肿瘤未见<span style="color: black;">显著</span>的滋养血管，<span style="color: black;">因此</span>不<span style="color: black;">做为</span>首选。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 结合<span style="color: black;">病人</span>病情，<span style="color: black;">最后</span>昨天在镇静<span style="color: black;">止疼</span>下进行了海扶超声消融治疗，<span style="color: black;">因为</span><span style="color: black;">病人</span><span style="color: black;">长时间</span>口服止痛药，对<span style="color: black;">止疼片</span>效果不<span style="color: black;">显著</span>，<span style="color: black;">因此</span>术后<span style="color: black;">病人</span><span style="color: black;">病痛</span>评分大概6-7分，<span style="color: black;">病人</span>一度有些<span style="color: black;">懊丧</span>，担忧<span style="color: black;">这次</span>治疗效果<span style="color: black;">不良</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">今天早上查房，<span style="color: black;">病人</span>诉<span style="color: black;">病痛</span><span style="color: black;">已然</span><span style="color: black;">显著</span>缓解，从昨日到今天<span style="color: black;">始终</span>未服止疼药，<span style="color: black;">病痛</span>评分大概2-3分，<span style="color: black;">夜晚</span>睡觉<span style="color: black;">亦</span>安然入睡，止疼效果<span style="color: black;">显著</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 胰腺癌晚期<span style="color: black;">病痛</span>，是临床中治疗非常棘手的问题，<span style="color: black;">常常</span>口服止痛药效果<span style="color: black;">不良</span>，并且后期<span style="color: black;">没</span>效，<span style="color: black;">同期</span><span style="color: black;">止疼片</span>的副<span style="color: black;">功效</span><span style="color: black;">显著</span>，<span style="color: black;">非常多</span><span style="color: black;">病人</span>生不如死。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">海扶刀超声消融是近20年来应用于临床中，治疗胰腺癌晚期<span style="color: black;">病痛</span>效果比较好的治疗<span style="color: black;">办法</span>，<span style="color: black;">咱们</span>中心<span style="color: black;">病痛</span>缓解有效率90%以上，并且还能对肿瘤进行杀灭，减瘤止疼，一举多得，是胰腺癌治疗中，值得<span style="color: black;">举荐</span>的治疗<span style="color: black;">方法</span>。</p>
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