CT引导下腹腔神经丛毁损术治疗顽固性腹部癌痛

Computerized to Mography Guided Neurol Ytic Celiac Plexus Block for the Treatment of Intractable Abdominal Cancer Pain

目的观察CT引导下腹腔神经丛毁损术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22例顽固性腹部癌痛在CT引导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1周内全部患者疼痛减轻或消失,在治疗后第一周、二周、一个月、半年随访,患者的疼痛评分,生活质量,疼痛缓解率均明显改善,大多患者临终前无痛或仅轻度疼痛。治疗过程中治疗后未发生严重并发症。结论CT引导下腹腔神经丛毁损术治疗顽固性腹部癌痛疗效确切,安全性高。

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.Methods 22 patients with severe abdominal cancer pain were treated by CT-guided percutaneous puncture of back approach and neurolytic celiac plexus block with alcohol.Results The cancer pain in all patients was controlled in one week after block,the following-up observation 1 week,2 week,4 week,half of one year later showed that pain relief and life quality were all improved significantly with no severe complications.Most patients died of cancer with no pain or with only slight pain.Conclusions Percutaneous neurolytic celiac plexus block guided by CT is a method with good analgesic effect and fewer complications for the treatment of abdominal cancer pain.