摘要
目的 评价CT引导下经腹前壁途径腹腔神经丛阻滞术 (NCPB)治疗上腹部及后背癌性疼痛的疗效和安全性。方法 回顾性分析了 2 4例接受CT引导下经腹前壁穿刺无水酒精腹腔神经丛阻滞治疗癌性疼痛的中、晚期胰腺癌和其它恶性肿瘤患者的临床资料。结果 短期疗效 (<2周 )的有效率为 91.7% ,完全缓解率为 45 .8% ;长期疗效 (>3个月 )的有效率为 71.4% ,完全缓解率为 14.3%。无 1例严重并发症。结论 CT引导下经腹前壁穿刺腹腔神经丛阻滞术是一种简便、安全、有效的治疗上腹部及后背癌性疼痛的方法。
Objective To evaluate the therapeutic effect and safety of neurolytic celiac plexus block (NCPB) using CT guidance through anterior abdominal approach. Methods The clinical data of 24 patients who were given NCPB because of the suffering of upper abdominal and back pain caused by pancreatic carcinoma and other cancer in advanced stage were retrospectively analyzed. The therapeutic effect was evaluated with complete pain relief and partial pain relief. Results The effective rate and complete pain relief rate in short period (<2 weeks) were 91.7% and 45.8% respectively. The effective rate and complete pain relief rate in long period (>3 months) were 71.4% and 14.3% respectively. No severe complications occured. Conclusion NCPB guided by CT through anterior abdominal approach is an effective, safe and simple method to control the upper abdominal and back pain caused by cancer.
出处
《介入放射学杂志》
CSCD
2001年第2期99-102,共4页
Journal of Interventional Radiology
关键词
腹腔神经丛阻滞术
癌性疼痛
无水酒精
CT
Neurolytic celiac plexus block
Cancer pain
Ethanol
Tomography, X ray computed
