CT引导下腹腔神经丛毁损术治疗慢性顽固性腹部癌痛

COMPUTERIZED TOMOGRAPHY GUIDED NEUROLYTIC CELIAC PLEXUS BLOCK FOR THE TREATMENT OF INTRACTABLE ABDOMINAL CANCER PAIN

摘要:

目的：观察CT引导下腹腔神经丛毁损性阻滞对顽固性腹部癌痛的镇痛效果及患者生活质量的影响。方法：74例顽固性腹部癌症疼痛患者，在CT引导监视下经背侧入路经皮穿刺腹腔神经丛无水乙醇阻滞治疗。结果：治疗后一周内全部患者疼痛减轻或消失。在治疗后第7、14、30、60天，患者的疼痛评分、疼痛缓解率、生活质量均明显改善，大多数患者临终前无痛或仅轻度疼痛。治疗过程中和治疗后未发生严重并发症。结论：CT引导下腹腔神经丛阻滞治疗顽固性腹部癌痛的疗效确切，安全性高．

Abstract:

Objective: The effects and the complications of percutaneous puncture and neurolytic celiac plexus block guided by computerized tomography were studied for treating abdominal cancer pain. Method: 74 patients with severe abdominal cancer pain were treated by CT-guided percutaneous puncture of back approach and neurolytic celiac plexus block with alcohol. Result: The cancer pain in all patients was controlled in one week after the block. By the results of following up at 7th,14th,30th and 60th days after the treatment the pain VAS, pain relief rate, life quality were all improved significantly with no severe complications. Most patients died of cancer with no pain or with only slight pain. Conclusion: Percutaneous neurolytic celiac plexus block guided by CT is a method with good analgesic effect and less complications for the treatment of abdominal cancer pain.