CT引导下腹膜后淋巴结消融术在治疗顽固性癌性腹痛中的应用  

Application of CT-guided retroperitoneal lymph node ablation in the treatment of intractable cancerous pain

作　　者：付伟[1] 陈士新[1] 刘海[1] 马永刚[1] 赵志友[1] 

机构地区：[1]陕西汉中3201医院影像中心,陕西汉中723000

出　　处：《实用放射学杂志》2013年第10期1622-1623,1631,共3页Journal of Practical Radiology

摘　　要：评价CT引导下经皮穿刺腹膜后转移性淋巴结肿大无水酒精消融术对顽固性癌性腹痛的治疗效果。方法 16例癌症晚期顽固性腹痛患者,均为腹膜后转移性淋巴结肿大,大部为多发肿大并融合成饼状,临床三阶梯止痛效果差,采用CT 引导下经皮穿刺淋巴结无水酒精消融术进行治疗。结果 术后即刻,1周,1、2、3、4、5个月的止痛有效率分别为100%、93%、87%、77%、73%、50%、33%。结论 腹膜后多发转移性淋巴结肿大、融合并压迫、侵犯腹腔神经丛的顽固性腹痛患者,采用CT引导下经皮穿刺腹膜后淋巴结无水酒精消融术可取得较好止痛效果,具有推广价值。Objective To evaluate the analgesic effect of CT-guided percutaneous puncture of retroperitoneal metastatic lymph nodes anhydrous alcohol ablation in intractable cancerous abdominal pain. Methods 16 patients with advanced cancer intractable abdominal pain caused by retroperitoneal metastatic lymph nodes were enrolled in this study. Most metastatic lymph nodes were multiple enlargement and fused into a pie. The clinical three-step care analgesic effect was poor. All the patients were underwent CT- guided percutaneous puncture anhydrous alcohol lymph node ablation treatment. Results The pain relief effectiveness were 100%, 93%, 87%, 77%, 73%, 50% and 33% at immediately, one week, 1, 2, 3, 4 and 5 months after operation respectively. Conclusion In the patients with retroperitoneal lymph node enlargement, fusion and oppression, infringing the solar plexus intractable abdominal pain, CT-guided pereutaneous puncture of retroperitoneal lymph nodes anhydrous alcohol ablation can provide good analgesic effect, which is worth to be recommended.

关 键 词：CT引导 转移瘤 消融术 癌性疼痛 

分 类 号：R814.42[医药卫生—影像医学与核医学] R656.6[医药卫生—放射医学]