电子计算机断层扫描导向腹腔神经丛阻滞术18例临床应用

The Clinic Application of Celiac Ganglia Block under CT Guidance

目的 :应用电子计算机断层扫描 ( computed tom ography,CT)导向下行腹腔神经丛阻滞术 ( celiac ganglion or plexusblock,CGB或 CPB)解除或减轻无法手术切除的上腹部恶性肿瘤所致的进行性癌性疼痛。方法 :18例上腹部恶性肿瘤患者 ,在CT导向下行腹腔神经丛阻滞术 ,通过注射无水乙醇治疗癌性疼痛。结果 :术后癌性疼痛消失或明显减轻 ,有效率达到 10 0 %。病人无严重不良反应 ,仅 2例出现一过性低血压 ,有头晕、恶心的感觉 ,有 1例出现较为剧烈的腹部烧灼感 ,短时缓解。结论 :CPB术能有效地解除上腹部癌性疼痛 ,临床上又避免使用易成瘾的麻醉止痛药 ,适于临床推广使用。

Objective:To relieve abdominal pain from ex acerbated, unresectable carcinoma of abdominal organs with celiac ganglia block under CT g uidance. Methods:The celiac ganglia block with percutaneous injectin g ethanol was performed in 18 patients with carcinoma of upper abdominal organs. Results:Pain in 18 patients was significantly alleviated after celiac g anglia block. 100% of the cases had improvement. There was no serious side react ion, only 2 patients had transient hypotension and one had severe burn like fee ling in abdomen. Conclusion:Celiac ganglia block under CT guidance i s effective and safe to relieve abdominal pain from progressive carcinoma of abdom inal organs. Celiac ganglia block make it possible to avoid addiction to narcoti cs and widely apply to clinics.