지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 16 - 24 (9page)
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초록· 키워드
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Background: Extraspinal percutaneous osteoplasties (POPs) are novel techniques for the treatment of painful bony metastasis, which is often the cause of both persistent and incidental breakthrough pain. This retrospective study explored the efficacy and complications of extraspinal POPs. Methods: The origin of the cancer metastasis, performed POP sites, necessity of adjacent joint injections, pain and Karnofsky Performance Scale (KPS) scores, complications related to the POPs, and life expectancy were evaluated from the medical records from 2009 to 2016. Results: A total of 47 (M/F = 28/19) patients had received 54 POPs, including costoplasty, scapuloplasty, ilioplasty, humeroplasty, ischioplasty, femoroplasty, sternoplasty, and puboplasty, in order of frequency. The most common sites for the origin of the cancer, in order of frequency, were the lung, liver, breast, colon, and kidney. All patients receiving POPs including scapuloplasty, ilioplasty, humeroplasty, and femoroplasty needed adjacent joint injections before or after the POPs. Pain due to metastatic lesions was reduced significantly immediately after the POPs and the reduction was sustained until the end of their lives. The median KPS was increased from 35.4% to 67.7% immediately after the POPs. There were no complications related to the procedures. The mean life expectancy after performing the POPs, for 35 patients which died afterwards, was 99.3 days, ranging from 1 to 767 days. Conclusion: Even though pain in the isolated POP sites may be difficult to measure due to overlapping systemic pain, the POPs provided immediate local pain relief, and the patients showed better physical performance without procedure-related complications.
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참고문헌 (17)
참고문헌 신청
Galibert P / 1987 / Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty / Neurochirurgie 33(2):166~168
Choi HR / 2010 / Scapuloplasty alleviates scapular pain resulting from lung cancer metastasis / Pain Physician 13(5):485~491
Kim KH / 2011 / Preoperative motion-related pain in cancer patients with extraspinal metastases treated by percutaneous osteoplasty / J Anesth Clin Res 4:276
Levine BD / 2009 / CT of rib lesions / AJR Am J Roentgenol 193(1):5~13
Pyrgakis P / 2013 / Anomalous origin and course of the suprascapular artery combined with absence of the suprascapular vein: case study and clinical implications / N Am J Med Sci 5(2):129~133
Choi HR / 2010 / Scapuloplasty alleviates scapular pain resulting from lung cancer metastasis / Pain Physician 13(5):485~491
Kim KH / 2011 / Preoperative motion-related pain in cancer patients with extraspinal metastases treated by percutaneous osteoplasty / J Anesth Clin Res 4:276
Levine BD / 2009 / CT of rib lesions / AJR Am J Roentgenol 193(1):5~13
Pyrgakis P / 2013 / Anomalous origin and course of the suprascapular artery combined with absence of the suprascapular vein: case study and clinical implications / N Am J Med Sci 5(2):129~133
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