CT引导下腹腔神经丛阻滞术治疗上腹部癌痛的临床应用研究  

A study of the clinical application of neurolytic celiac plexus block using CT guidance to control the upper abdominal pain caused by cancer

作　　者：李保卫[1] 王友明[1] 高立威[2] 吕英刚[1] 唐丽萍[1] 暴军晖[1] 

机构地区：[1]河北工程大学附属医院医学影像科,邯郸056002 [2]邯郸市中心医院神经外科

出　　处：《中国实用医药》2008年第4期6-7,共2页China Practical Medicine

基　　金：邯郸市科研基金资助(项目编号:072317064)

摘　　要：目的研究腹腔神经丛阻滞术治疗腹部顽固性癌痛的方法及疗效。方法30例各类上腹部恶性肿瘤患者,均有顽固性上腹疼痛,在CT引导下进行膈脚前及腹膜后肿大淋巴结内乙醇阻滞治疗。结果手术成功率100%,CT显示乙醇在腹主动脉周围及淋巴结内弥散良好,术后即刻至2周,总有效率达100%,随访至半年总有效率71.4%。结论CT引导下腹腔神经丛阻滞术,定位准确,疼痛缓解率高,并发症少,值得临床推广应用。Objective To study the methods and therapeutic effect of neurolytic celiac plexus block in treatment of intractable upper abdominal pain caused by cancer. Methods All the 30 patients with carcinoma of upper abdominal organs suffered from intractable upper abdominal pain. Ethanol was injected through neurolytic celiac plexus block under CT guidance with needle tip positioned into the tumorous retropefitoneal lymph nodes. Results The success rate was 100%. CT results showed ethanol diffused well in lymph nodes and surrounding aorta. The total effective rate of pain relief was 100% in two weeks and 71.4% in 6 months. Conclusion Neurolytic celiac plexus block using CT guidance is worth widely applying to clinics for its accurately choosing position, a high rate of pain relief and few complications.

关 键 词：腹腔神经丛 阻滞 癌性疼痛 无水乙醇 CT 

分 类 号：R735[医药卫生—肿瘤] R734.2[医药卫生—临床医学]