内镜超声引导下腹腔神经丛阻滞术治疗胰腺癌痛的临床分析  

The efficiency of endoscopic ultrasound guided neurolytic celiac plexus block for pancreatic carcinoma pain

作　　者：高世平[1] 景艳[2] 高春香[3] 张琳[4] 

机构地区：[1]包头市第四医院外二科,内蒙古包头014030 [2]包头市第四医院超声科,内蒙古包头014030 [3]包头市第四医院护理部,内蒙古包头014030 [4]包头市肿瘤医院麻醉手术科,内蒙古包头014030

出　　处：《现代肿瘤医学》2014年第7期1638-1640,共3页Journal of Modern Oncology

摘　　要：目的:探讨内镜超声引导下腹腔神经丛阻滞术治疗胰腺癌痛的临床疗效。方法:2010年1月-2013年1月对来我院治疗的60例胰腺癌痛患者行内镜超声引导下腹腔神经丛阻滞术,记录治疗前后患者疼痛缓解度及疼痛视觉模拟评分以评价治疗效果。结果:患者治疗前疼痛视觉模拟评分为7.9±1.1,手术后次日VAS值为1.7±0.3,手术后1周VAS值为2.2±1.7,手术后2周、手术后1月及手术后2月VAS值为1.4±1.1,所有患者疼痛均消失,无严重并发症出现。结论:内镜超声引导下腹腔神经丛阻滞术治疗胰腺癌痛疗效显著,并发症小,值得应用推广。Objective：To evaluate the clinic efficiency of endoscopic ultrasound guided neurolytic celiac plexus block（ EUS- NCPB） on pain associated with pancreatic carcinoma. Methods：EUS- NCPB was performed to relieve pain in 60 patients with advanced pancreatic carcinoma, and the efficiency was measured by visual analogue scale （VAS） and pain relief（PAR）. Results： The patients VAS value was 7.9 ± 1.1 before treatment. On the next day after treatment,one week and long period（2 weeks, 1 month,2 months）, the VAS values were 1.7 ± 0.3,2.2 ± 1.7,1.4 ± 1.1 respectively. All patients＇abdominal pain disappeared after treatment and no serious complication happened. Con- clusion,EUS -NCPR is a safe and effective method for relieving the pain in pancreatic carcinoma.

关 键 词：胰腺癌 内镜超声 腹腔神经丛 

分 类 号：R735.9[医药卫生—肿瘤]