CT导向下腹腔神经丛阻滞治疗晚期癌症所致上腹部顽固性疼痛的临床应用  

The Clinical Application on Controlling Intractable Upper Abdominal Pain Caused by late Stage Cancer Through Neurolytic Celiac Plexus Block Guided by CT

作　　者：贺国庆[1] 朱毅[1] 黄迪生[1] 王鸿志[1] 沈兰[1] 管彬[1] 

机构地区：[1]四川省绵阳市中心医院放射科,四川绵阳621000

出　　处：《实用放射学杂志》2002年第12期1061-1063,共3页Journal of Practical Radiology

基　　金：四川省卫生厅科研基金项目 (编号 0 0 0 2 1 4 )

摘　　要：目的　探讨腹腔神经丛阻滞治疗晚期癌症所致上腹部顽固性疼痛的应用价值。方法　 2 4例由胰腺癌、胃癌、结肠癌、肝癌、直肠癌和胆囊癌伴转移引起的上腹部顽固性疼痛的患者 ,在CT导引下实施了双侧腹腔神经丛酒精阻滞。结果　治疗 1月后 ,6例患者疼痛消失 ,其余 18例疼痛较治疗前有好转。本组无 1例有严重并发症。Objective To evaluate CT-guided nerolytic celiac plexus block ( NCPB ) analgesia on intractable upper abdominal pain caused by late stage cancer in clinical practice.Methods Twenty-four cases of late stage cancer were treated with percutaneous CT-guided bilateral NCPB with ethanol.All the patients had intractable upper abdominal pain from metastasis of pancreas ,stomach,colon,liver,rectum and gall bladder.Results All the cases upper abdominal pain disappeared or obvious improved immediately treatment. Free from pain was seen in 6 and pain relief in 18 after 1 month. There were no severe complications in any case.Conclusion NCPB guided by CT proves to be an effective and safe means of controlling intractable upper abdominal pain caused by late stage cancer.

关 键 词：CT导向 腹腔神经丛阻滞 顽固性疼痛 晚期癌症 

分 类 号：R814.42[医药卫生—影像医学与核医学] R441[医药卫生—放射医学]