CT引导下腹腔神经丛毁损性阻滞治疗顽固性胰腺癌痛的临床观察  

CT-guided neurolytic celiac plexus block for the treatment of intractable pancreatic cancer pain

作　　者：倪家骧[1] 郭玉娜[1] 薛纪秀[1] 任玉娥[2] 刘凤玲[3] 姜达[3] 

机构地区：[1]首都医科大学宣武医院疼痛诊疗中心,北京宣外长椿街45号100053 [2]河北医科大学第二医院麻醉科 [3]河北医科大学第四医院肿瘤科

出　　处：《中国康复医学杂志》2004年第6期450-452,共3页Chinese Journal of Rehabilitation Medicine

摘　　要：目的:观察CT引导下腹腔神经丛毁损性阻滞对顽固性胰腺癌痛的镇痛效果、并发症及对患者生活质量的影响。方法:46例顽固性胰腺癌症疼痛患者,在CT引导监视下经背侧入路经皮穿刺,行腹腔神经丛无水酒精阻滞治疗。结果:治疗后1周内全部患者疼痛减轻或消失。在治疗后第7、14、30、60、90天,患者的疼痛评分、疼痛缓解率、生活质量均明显改善,大多数患者临终前无痛或仅轻度疼痛。治疗过程中和治疗后未发生严重并发症。结论:CT引导下腹腔神经丛阻滞治疗顽固性胰腺癌痛的疗效确切,安全性高。Objective:The effects and the complications of percutaneous puncture and neurolytic celiac plexus block guided by CT were studied for treating pancreatic cancer pain.Method:46 patients with severe pancreatic cancer pain were treated by CT-guided percutaneous puncture from back approach and neurolytic celiac plexus block with alcohol.Result:The cancer pain in all patients was controlled in one week after the block. By the results of following up at 7th,14th,30th,60th,and 90th day after the treatment the pain VAS,pain relief rate,life quality were all improved significantly with no severe complications. Most patients died of cancer with no pain or with only light pain.Conclusion:Percutaneous puncture and neurolytic celiac plexus block by the guide of CT is a method with good analgisic effect and less complications for the treatment of pancreatic cancer pain.Author′s address Pain Medical Center,Xuanwu Hospital,Beijing,100053

关 键 词：CT引导 腹腔神经丛毁损性阻滞 治疗 顽固性胰腺癌痛 并发症 生活质量 

分 类 号：R735.9[医药卫生—肿瘤] R441.1[医药卫生—临床医学]