摘要
目的分析腹腔神经丛毁损术(NCPB)治疗癌性腹痛的疗效。方法 14例癌性腹痛患者在CT引导下行NCPB,评估术后1、4、8和12周的VAS疼痛评分,统计吗啡口服剂量和生存期,评估生活质量,记录术后并发症。结果术后12周内的VAS疼痛评分均比术前降低(P<0.01)。术后8周内,吗啡日口服量少于治疗前(P<0.01),生活质量提高(P<0.01)。14例患者术后生存36-195(105±47)d。术后96h内背部穿刺点疼痛12例,严重低血压3例,恶心呕吐2例,大汗伴有剧烈寒战1例;无其他明显远期并发症。结论 CT引导下实施NCPB,安全可靠,能有效缓解癌性腹痛,提高生活质量。
Objective To analyze the outcomes of CT-guided neurolytic celiac plexus block（NCPB）in the treatment of abdominal cancer pain.Methods The CT-guided NCPB was performed in14 patients with abdominal cancer pain.The postoperative VAS pain scores,daily oral morphine dose,NCPB-related complications,survival and the quality of life were followed up on the 1st,4th,8th and12 th week after NCPB.Results VAS pain scores were lower in 12 weeks than those before（P〈0.01）.The oral daily morpmine consumption was less and the quality of life was better,in 8weeks than those before（P〈0.01）.Forteen cases were survived for 36-195（105±47）days.The short-term complications included local pain on the puncture point in 12 cases（85.7%）,severe hypotension in 3cases（21.4%）,nausea and vomiting in 2cases（14.2%）,severe sweating and chills in one case.There were no long-term complications in all cases.Conclusion The CT-guided NCPB is effective and safe in the treatment of abdominal cancer pain and improvement of life quality.
出处
《江苏医药》
CAS
2015年第4期405-407,共3页
Jiangsu Medical Journal
关键词
腹腔神经丛毁损术
癌性疼痛
Neurolytic celiac plexus block
Cancer pain
