CT引导下无水乙醇阻滞双侧腹腔神经丛治疗腹部癌性疼痛的评价

Evaluation of absolute ethyl alcohol for bilateral celiac plexus block guided by CT in the treatment of carcinomatous pain of abdomen

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例晚期上腹部癌症病例,CT引导下以无水酒精10～15毫升实施双侧腹腔神经丛阻滞,评价其止痛效果、不良反应、生存质量等。结果疼痛完全缓解7例,部分缓解3例,患者仅口服或肌注曲马多即能止痛,有效率83.3%;6例完全或部分缓解持续3个月,1例持续4.3个月。全部病例精神状态、饮食和睡眠明显好转。结论CT引导下腹腔神经丛无水乙醇阻滞可较有效地解除上腹部顽固性的癌性疼痛。

Objective To investigate the clinical value of celiac plexus block with absolute ethyl alcohol guided by CT for treating the carcinomatous pain of abdomen.Methods 12 cases with advanced epigastric carcinoma were unresectable and untreatable pain.The bilateral celiac plexus block were performed with 10～15ml abselute ethyl alcohol guided by CT.The analgesic effects,side effects and survival quality were evaluated.Results The pain was relieved completely in 7 cases.The tramadol was only used by oral administration or intramuscular injection to relieve pain.The effective rate was 83.3%.No pain or mild pain was persisted to 3 months in 6 cases.1case was continued to 4.3 months.Mental state,appetide and sleep were improved obviously in all cases.Conclusion This therapeutic method can effectively relieve the intractable carcinomatous pain of epigastrium.