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Abstract：
Bone cancer metastasis may produce severe and refractory pain. It is often difficult to manage with systemic analgesics. Chemical neurolysis may be an effective alternative in terminally ill patients.
Female terminally ill patient with hip metastasis of gastric cancer in severe pain. Neurolytic ultrasound-guided blocks of the pericapsular nerve group and obturator nerve were performed with 5% phenol. This led to satisfactory pain relief for 10 days, until the patient\'s death.
This approach may be effective and safe as an analgesic option for refractory hip pain due to metastasis or pathologic fracture in terminally ill patients.
Female terminally ill patient with hip metastasis of gastric cancer in severe pain. Neurolytic ultrasound-guided blocks of the pericapsular nerve group and obturator nerve were performed with 5% phenol. This led to satisfactory pain relief for 10 days, until the patient\'s death.
This approach may be effective and safe as an analgesic option for refractory hip pain due to metastasis or pathologic fracture in terminally ill patients.
摘要：
背景：骨癌转移可能会产生严重且难治性的疼痛。使用全身性镇痛药通常难以管理。化学神经溶解可能是绝症患者的有效替代方法。
方法：患有严重疼痛的胃癌髋关节转移的女性绝症患者。使用5％苯酚对囊周围神经组和闭孔神经进行神经溶解超声引导的阻滞。这导致10天令人满意的疼痛缓解，直到病人死亡。
结论：这种方法作为绝症患者转移或病理性骨折引起的难治性髋部疼痛的镇痛选择可能是有效和安全的。
方法：患有严重疼痛的胃癌髋关节转移的女性绝症患者。使用5％苯酚对囊周围神经组和闭孔神经进行神经溶解超声引导的阻滞。这导致10天令人满意的疼痛缓解，直到病人死亡。
结论：这种方法作为绝症患者转移或病理性骨折引起的难治性髋部疼痛的镇痛选择可能是有效和安全的。
