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价值

本文发表于中国综合临床2005，21（4）

　　【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。广东省中山市人民医院肝胆外科周载平
　　【关键词】　晚期癌症;　无水乙醇;　癌性疼痛;　腹腔神经丛
　　【中图分类号】　R 735　【文献标识码】　A　　【文章编号】　1008-6315(2005)04-0337-02
Neurolytic celiac plexus block w ith anhydrousal alcohol guided by CT scan for abdom enal cancer pain.　
Zhou Zaiping,Hu Zemin,Yu Yuanlong, et al.FirstDepartment ofGeneralSurgery,Zhongshan CityPeople′sHospital of GuangdongProvince(Zhongshan528403,China)
　　【Abstract】　Objective　To explore the clinicalvalue ofneurolytic celiac plexus blockwith anhydrousal alcohol guided by CT scan for advanced cancer pain of abdomen.M ethods　12 cases of advanced carcinoma suffering from untreatable pain in upper abdomenwere treatedwith both sides ofneurolytic celiac plexus blockwith 10-15 ml absolute alcohol underCT scan.Analgesic effects、adverse effects and life quality parametersweremeasured.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 ratewas 83. 3%. Slight pain in 6 cases persisted for 3 months, 1 case persisted for 4. 3 months.Mental state, diet and and sleepingwere obviously improved in all cases.Conclusion　Bilatereal celiac neurolytic plexus blockwith anhydrousal alcohol guided by CT scanmay effectively relieve cancerpain ofupper ab- domen carcinoma.
　　【Key words】　Advanced cancer;　Anhydrousal alcoho;l　Cancer pain;　Celiac neurolytic plexus