CT、超声引导下进行腹腔神经节阻滞的应用价值探讨  

Application Value of Surgery of CT-guided or Ultrasound-Guided Celiac Plexus Neurolysis

作　　者：汤蓓[1] 张玲 张骞[1] 何冠南[1] 蒋琴[1] TANG Bei;ZHANG Ling;ZHANG Qian;HE Guan-nan;JIANG Qin(Department of Ultrasound,Sichuan Maternal and Child Health Hospital,Chengdu 610031,Sichuan Province,China)

机构地区：[1]四川省妇幼保健院超声科,四川成都610031

出　　处：《中国CT和MRI杂志》2022年第5期151-153,共3页Chinese Journal of CT and MRI

摘　　要：目的 分析CT、超声引导下进行腹腔神经节阻滞的应用价值。方法 回顾分析本院2017年1月至2019年8月进行腹腔神经节阻滞手术患者40例。随机分为CT引导和超声引导各20例。观察图像表现,对患者在CT和超声引导下腹腔神经阻滞手术止痛率以及并发症(血压降低、局部疼痛、腹泻)情况。结果 患者在CT和超声引导下腹腔神经阻滞手术后肢体效果均为100%(P>0.05)。CT和超声引导下腹腔神经阻滞手术不良情况分别为20.00%(4/20)、10.00%(2/20)比较差异无统计学意义(P>0.05)。所有不良反应情况在得到正确处理后均被缓解。结论CT、超声引导下进行腹腔神经节阻滞手术,均有较高的临床应用价值,在临床使用中医生可根据患者个人情况进行合适引导方法选择。Objective To analyze the application value of surgery of CT-guided or ultrasound-guided celiac plexus neurolysis. Methods The data of 40 patients with surgery of celiac plexus neurolysis from January 2017 to August 2019 were retrospectively analyzed. They were randomly treated with CT guidance and ultrasound guidance, 20 cases in each group. Image features were observed. The analgesic rate and complications(reduction of blood pressure, local pain, diarrhea) of patients treated with surgery of CT-guided or ultrasound-guided celiac plexus neurolysis were compared. Results The effect of body of the patients treated with surgery of CT-guided or ultrasound-guided celiac plexus neurolysis was100%(P>0.05). The ratio of adverse reaction in surgery of CT-guided or ultrasound-guided celiac plexus neurolysis was 20.00%(4/20) and 10.00%(2/20), respectively, and the difference was not statistically significant(P>0.05). All adverse reactions were alleviated after patients were properly treated.Conclusion The surgery of CT-guided celiac plexus neurolysis and surgery of ultrasound-guided celiac plexus neurolysis both have high clinical value. In clinic, doctors can choose appropriate guidance methods according to their individual circumstances.

关 键 词：CT 超声 腹腔神经节阻滞 应用价值 

分 类 号：R445.3[医药卫生—影像医学与核医学] R323.3[医药卫生—诊断学]