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目的 :探讨体腔镜胸交感神经链切断术治疗晚期胰腺癌疼痛的疗效。方法 :选择晚期胰腺癌疼痛的患者 ,1 2例均在全麻双腔支气管插管麻醉下 ,经体腔镜行胸腔内脏交感神经链切断术 ,结果 :6例术前重度疼痛者 ,术后疼痛完全消失 ,随访 4～ 6月无复发 ;6例极度疼痛者 ,术后 8月内完全无痛。患者饮食、睡眠、精神状态均有明显改善 ,体重增加 1～ 3kg。病人术后恢复良好 ,无其它并发症。结论 :晚期胰腺癌疼痛的患者 ,均可选择用体腔镜行交感神经链切断术 ,可有效控制疼痛 ,生活质量明显改善
Objective : To explore the efficacy of endoscopic thoracic sympathectomy in the treatment of advanced pancreatic cancer pain. Methods: Twenty-two patients with advanced pancreatic cancer pain were selected and 12 patients underwent thoracic visceral sympathetic chain transection under general anesthesia with double lumen bronchial intubation anesthesia. Results: Six patients with severe pain before operation, postoperative pain Completely disappeared, no recurrence was observed during 4 to 6 months of follow-up; 6 patients with extreme pain were completely painless within 8 months after surgery. The patient’s diet, sleep, and mental status all improved significantly, with a weight gain of 1 to 3 kg. The patient recovered well after surgery without other complications. Conclusion: Patients with advanced pancreatic cancer pain can choose to perform sympathetic chain transection with a body cavity mirror, which can effectively control pain and improve quality of life.