CT引导内脏与腹腔神经丛阻滞治疗上腹癌痛的比较

姚鹏; 赵广翊; 姜长林; 崔健君; 孟凌新

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中国临床医学影像杂志 ›› 2007, Vol. 18 ›› Issue (4) : 265-268.

论著

CT引导内脏与腹腔神经丛阻滞治疗上腹癌痛的比较

姚鹏1，赵广翊1，姜长林2，崔健君1，孟凌新1

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Efficacy of splanchnic nerve and celiac plexus block in treating superior abdominal cancer pain

YAO Peng1, ZHAO Guang-yi1, JIANG Chang-lin2, CUI Jian-jun1, MENG Ling-xin1

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摘要

目的：观察CT引导下内脏与腹腔神经丛毁损性阻滞对上腹癌痛的镇痛效果比较。方法：48例顽固性上腹部癌症重度疼痛患者，随机分两组，在CT引导下分别行腹腔神经丛（Ｆ组）或内脏神经丛（Ｎ组）无水乙醇毁损阻滞治疗。观察两组镇痛效果、疼痛缓解程度及不良反应。结果：治疗后即刻全部患者疼痛减轻或消失。在治疗后第3、7、15、30、60、90天，患者的疼痛评分、疼痛程度均明显改善，两组间无显著差异，治疗过程中和治疗后未发生严重并发症。结论：内脏神经丛阻滞可取得与腹腔神经丛阻滞一致的效应，操作方便、疗效确切、安全性高，可供临床选择。

Abstract

Objective: To evaluate the efficacy of neurolytic celiac　plexus block(NCPB) and splanchnic nerve block(SNB) in treating superior abdominal cancer pain guided by CT. Methods: Forty-eight patients with intractable abdominal cancer pain were enrolled in this study and divided into two groups randomly, NCPB and SNB were performed. VAS, pain relief and complications were observed. Results: Immediate pain relief was noticed in all 48 patients after block. VAS, pain relief are all improved at different times. No significant deviation observed between the two groups. No severe complications occurred in this study. Conclusion: SNB has the same efficacy of NCPB and may be an alternative to celiac plexus blockade in patients with superior abdominal cancer pain.

导出引用

姚鹏;赵广翊;姜长林;崔健君;孟凌新. CT引导内脏与腹腔神经丛阻滞治疗上腹癌痛的比较[J]. 中国临床医学影像杂志. 2007, 18(4): 265-268

YAO Peng;ZHAO Guang-yi;JIANG Chang-lin;CUI Jian-jun;MENG Ling-xin. Efficacy of splanchnic nerve and celiac plexus block in treating superior abdominal cancer pain[J]. Journal of China Clinic Medical Imaging. 2007, 18(4): 265-268

中图分类号： Ｒ735 Ｒ814.42