腹腔神经丛阻滞疗法中国专家共识(2023版)  

A Chinese experts consensus on celiac plexus block therapy(2023 edition)

作　　者：王孝文[1] 周华成[2] 徐文坚[3] 刘小会 倪家骧[4] 谢广伦 马常升[6] 侯森林[7] 薛朝霞[8] 杨东[9] 杨晓秋[10] 宋涛[11] 孙涛 夏令杰[13] 何睿林[14] 马柯[15] 陆丽娟 贺永进[17] 万丽[18] 刘广召[1] Wang Xiaowen;Zhou Huacheng;Xu Wenjian;Liu Xiaohui;Ni Jiaxiang;Xie Guanglun;Ma Changsheng;Hou Senlin;Xue Zhaoxia;Yang Dong;Yang Xiaoqiu;Song Tao;Sun Tao;Xia Lingjie;He Ruilin;Ma Ke;Lu Lijuan;He Yongjin;Wan Li;Liu Guangzhao(Department of Painology,The Second Hospital of Hebei Medical University,Shijiazhuang City,Hebei Province 050000,China;Department of Painology,The Fourth Affiliated Hospital of Harbin Medical University,Harbin City,Heilongjiang Province 150001,China;Department of Radiology,Affiliated Hospital of Qingdao University,Qingdao City,Shandong Province 266003,China;Department of Painology,Xuanwu Hospital of Capital Medical University,Beijing City 100053,China;Department of Pain&Rehabilitation and Palliative Medicine,Affiliated Cancer Hospital of Zhengzhou University,Zhengzhou City,Henan Province 450008,China;Department of Human Anatomy,Hebei Medical University,Shijiazhuang City,Hebei Province 050017,China;Department of Bilio-Pancreatic Endoscopic Surgery,The Second Hospital of Hebei Medical University,Shijiazhuang City,Hebei Province 050000,China;Department of Painology,The First Hospital of Shanxi Medical University,Taiyuan City,Shanxi Province 030001,China;Department of Pain Medicine,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan City,Hubei Province 430022,China;Department of Painology,The First Affiliated Hospital of Chongqing Medical University,Chongqing City 400016,China;Department of Painology,The First Hospital of China Medical University,Shenyang City,Liaoning Province 110001,China;Department of Pain Medicine,Provincial Hospital Affiliated to Shandong First Medical University,Jinan City,Shandong Province 250021,China;Department of Pain Medicine,Henan Provincial People's Hospital,Zhengzhou City,Henan Province 450003,China;Department of Painology,The Second Affiliated Hospital of Guangxi Medical University,Nanning City,Guangxi Zhuang Automomous Region 530007,China;Department of Pain Medicine,Xinhua Hospital Affiliated to Shanghai Jiao Tong University Schoo

机构地区：[1]河北医科大学第二医院疼痛科,石家庄市050000 [2]哈尔滨医科大学附属第四医院疼痛科,哈尔滨市150001 [3]青岛大学附属医院放射科,青岛市266003 [4]首都医科大学宣武医院疼痛科,北京100053 [5]郑州大学附属肿瘤医院疼痛康复与姑息医学科,郑州市450008 [6]河北医科大学人体解剖学教研室,石家庄市050017 [7]河北医科大学第二医院胆胰内镜外科,石家庄市050000 [8]山西医科大学第一医院疼痛科,太原市030001 [9]华中科技大学同济医学院附属协和医院疼痛科,武汉市430022 [10]重庆医科大学附属第一医院疼痛科,重庆市400016 [11]中国医科大学附属第一医院疼痛科,沈阳市110001 [12]山东第一医科大学附属省立医院疼痛科,济南市250021 [13]河南省人民医院疼痛科,郑州市450003 [14]广西医科大学第二附属医院疼痛科,南宁市530007 [15]上海交通大学医学院附属新华医院疼痛科,上海市200092 [16]南京鼓楼医院疼痛科,南京市2210008 [17]天津市第一中心医院疼痛科,天津市300192 [18]广州医科大学第二附属医院疼痛科,广州市510260

出　　处：《中华疼痛学杂志》2023年第3期356-372,共17页Chinese Journal Of Painology

摘　　要：腹腔神经丛阻滞(CPB)是治疗上腹部癌如胰腺癌引起腹痛的有效介入技术。腹腔神经丛毁损术能长时间减轻疼痛,减少阿片类药物用量,并降低其药物不良反应。本专家共识参考近几年腹腔神经丛阻滞的进展,就腹腔神经丛阻滞疗法相关的解剖学、适应证、禁忌证、各种操作技术以及并发症作一归纳,形成了腹腔神经丛阻滞疗法的中国专家共识,旨在指导临床应用。Celiac plexus block(CPB)is an effective interventional technique for treatment of abdominal pain caused by upper abdominal cancer,such as pancreatic cancer.Celiac plexus neurolysis can diminish pain for a long time,reduce the opiate requirements,furthermore limit the side effects of the drugs.This expert consensus refers to the progress of CPB in recent years,and summarizes the anatomy,indications,contraindications,various operating techniques,and complications related to CPB,to guide the clinical practice.

关 键 词：腹腔神经丛 内脏神经 神经传导阻滞 神经毁损 乙醇 癌痛 专家共识 

分 类 号：R614[医药卫生—麻醉学]