超声引导下腹腔神经丛阻滞术治疗晚期癌症腹痛的临床研究  

A clinical study of ultrasound-guided celiac plexus block

作　　者：黄浩[1] 庞亮明[1] 陈德雄[1] 谭海葵[1] 

机构地区：[1]湛江中心人民医院,524037

出　　处：《国际医药卫生导报》2013年第13期1954-1956,共3页International Medicine and Health Guidance News

摘　　要：目的 探讨彩超引导下的腹腔神经丛阻滞术（CPN）治疗晚期癌症腹痛的临床疗效.方法 采用彩超引导下进行腹腔神经丛无水乙醇阻滞术,观察病人腹痛缓解情况.结果 治疗2、4、8天后病例疼痛缓解率分别为56.7％、93.3％、96.7％,12周疼痛缓解率为72.7％,24周疼痛缓解率为54.5％.结论 在彩超引导下的腹腔神经丛阻滞是治疗由晚期胰腺癌、腹腔转移癌等引起的剧烈腹痛较为安全、有效的方法.Objective To explore the clinical efficacy of celiac plexus neurolysis （CPN） for abdominal pain associated with advanced cancer under guidance of color Doppler ultrasound.Methods CPN with absolute alcohol was performed under guidance of color Doppler ultrasound.The relief of abdominal pain was observed.Results The rate of pain relief was 56.7% on day 2,93.3% on day 3,and 96.7% on day 8,and 72.7% on week 12 and 54.5% on week 24 after treatment.Conclusions Ultrasound-guided celiac plexus block is a safe,effective approach for severe abdominal pain caused by advanced pancreatic cancer and peritoneal metastasis.

关 键 词：彩超 腹腔神经传导阻滞 临床疗效 

分 类 号：R730.5[医药卫生—肿瘤]