摘要
目的探讨CT引导下腹腔神经丛无水乙醇阻滞治疗腹部癌性疼痛的临床价值.方法对无法切除和无法有效止痛的12例晚期上腹部癌症患者,CT引导下应用无水乙醇10～15 ml实施双侧腹腔神经丛阻滞,评价其止痛效果、不良反应及生存质量等.结果 7例疼痛完全消失,3例仅口服或肌肉注射曲马朵即能止痛,有效率83.3%;6例无或轻微疼痛维持3个月,1例维持4.3个月.患者精神状态、饮食和睡眠均明显好转.结论 CT引导下无水乙醇阻滞双侧腹腔神经丛可较有效地解除上腹部顽固性癌性疼痛.
Objective To explore the clinical value of neurolytic celiac plexus block with anhydrousal alcohol guided by CT scan for advanced cancer pain of abdomen.Methods 12 cases of advanced carcinoma suffering from untreatable pain in upper abdomen were treated with both sides of neurolytic celiac plexus block with 10-15 ml absolute alcohol under CT scan.Analgesic effects、adverse effects and life quality parameters were measured.Results The feeling of pain were alleviated completely in 7 cases,and effectively controlled with tramadol orally or by injection in 3 cases,the effective rate was 83.3%.Slight pain in 6 cases persisted for 3 months,1 case persisted for ~4.3 months.Mental state,diet and and sleeping were obviously improved in all cases.Conclusion Bilatereal celiac neurolytic plexus block with anhydrousal alcohol guided by CT scan may effectively relieve cancer pain of upper abdomen carcinoma.
出处
《中国综合临床》
北大核心
2005年第4期337-338,共2页
Clinical Medicine of China
基金
广东省医学科研基金资助(A2001823)
关键词
晚期癌症
无水乙醇
癌性疼痛
腹腔神经丛
Advanced cancer
Anhydrousal alcohol
Cancer pain
Celiac neurolytic plexus
