CT导引下经膈脚后入路行腹腔神经丛阻滞  

COMPUTED TOMOGRAPHY-GUIDED NEUROLYTIC CELIAC PLEXUS BLOCK THROUGH POST-CRUS OF DIAPHRAGM APPROACH

作　　者：崔健君[1] 姚鹏[1] 王彬[1] 陈培红[2] 郭文力[3] 孟凌新[1] 

机构地区：[1]中国医科大学盛京医院疼痛科,沈阳110004 [2]中国医科大学盛京医院麻醉科,沈阳110004 [3]中国医科大学盛京医院放射科,沈阳110004

出　　处：《中国疼痛医学杂志》2004年第1期10-11,共2页Chinese Journal of Pain Medicine

摘　　要：目的 :探讨经膈脚后入路行腹腔神经丛阻滞的方法、效果及安全性。方法 :18例癌痛病人 ,在CT导引下经膈脚后入路 ,用无水乙醇行毁损性阻滞。观察阻滞后当日、阻滞后 1～ 4周和 5～ 8周三个时段的镇痛有效率及并发症发生情况。结果 :三个时段镇痛有效率分别是 10 0 %、77.78%和6 8.75 % ,有 4例病人血压下降超过阻滞前的 30 % ,处理后恢复正常 ;5例发生乙醇中毒症状 ,3例发生腹泻 ,均自愈。结论 :经膈脚后入路行腹腔神经丛阻滞的方法 ,简便、安全、有效 ,可供临床选用。Objective: To evaluate the process, effectiveness and safety of Computed tomography-guided neurolytic celiac plexus block (NCPB) through post-Crus of diaphragm approach. Method: Gighteen patients with cancer pain were enrolled in this study. Computed tomography-guided alcohol neurolysis was performed through post-Crus of diaphragm approach. Pain relief and Complications were observed during the day of block, the first 1～4 weeks and 5～8 weeks after block. Results: Pain relief was noticed in all 18 patients (100%) during the block day, long-lasting pain relief was 77.78% and 68.75% for the two periods, respectively. Complications included hypotension (more than 30%, compare with that before block) in 4 cases, reversion after treatment. Ethanol poisoning in 5 patients and diarrhea in 3 patients were all spontaneous cure. Conclusions: NCPB through post-Crus of diaphragm approach appears to provide patients with safe and effective pain relief for cancer pain, easy to perform and have no process complication to be used in clinic.

关 键 词：CT导引 膈脚后入路 腹腔神经丛阻滞 并发症 癌痛 并发症 

分 类 号：R730.5[医药卫生—肿瘤]