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目的 探讨晚期前列腺癌患者骨痛的治疗方法。 方法 对 8例晚期前列腺癌骨痛患者分别予多种止痛剂 ( 8例 )、二膦酸盐 (博宁 ,8例次 )、89Sr( 8例次 )、外放射 ( 4例次 )等治疗。 结果 8例患者中 1例死于呼吸衰竭 ,7例疼痛缓解 3~ 5个月 ;博宁治疗者中 2例每次治疗疼痛缓解 1~ 2个月 ;外放射治疗的 2例疼痛缓解期分别为 4和 6个月 ;89Sr治疗的 2例每次治疗疼痛缓解约 1个月。 结论 骨痛是晚期前列腺癌常见的并发症 ,采取综合措施可不同程度缓解患者的痛苦。
Objective To explore the treatment of bone pain in patients with advanced prostate cancer. Methods Eight patients with advanced prostate cancer with bone pain were treated with various analgesics (8 cases), bisphosphonates (8 cases), 89Sr (8 cases) and external radiotherapy (4 cases) . Results One of 8 patients died of respiratory failure, and the other 7 patients relieved pain for 3 to 5 months. Two patients in Bonin treated group were relieved pain for 1 to 2 months. Two cases of pain relief from external radiotherapy For 4 and 6 months; 2 cases of 89Sr treatment pain relief for each treatment for about 1 month. Conclusions Bone pain is a common complication of advanced prostate cancer. Taking comprehensive measures can alleviate the patient’s pain in varying degrees.