| CT引导下腹腔神经丛阻滞术治疗胰腺癌合并重度腹痛的疗效观察 |
| |
| 引用本文： | 郑琳,黎海亮,郭晨阳. CT引导下腹腔神经丛阻滞术治疗胰腺癌合并重度腹痛的疗效观察[J]. 疑难病杂志, 2011, 10(7): 512-514. DOI: 10.3969/j.issn.1671-6450.2011.07.015 |
| |
| 作者姓名： | 郑琳 黎海亮 郭晨阳 |
| |
| 作者单位： | 河南省肿瘤医院介入科,郑州,450003 |
| |
| 摘 要： | 目的观察CT引导下腹腔神经丛阻滞术对胰腺癌合并重度腹痛的镇痛效果及不良反应。方法 40例伴重度腹痛的胰腺癌患者应用随机数字表分为2组：药物治疗组（药物组）20例,予硫酸吗啡缓释片10mg口服,每日2次,根据镇痛效果逐步调整剂量至30mg,每日2次;介入治疗组（介入组）20例,在CT引导下经背侧入路经皮穿刺腹腔神经丛,注射无水乙醇15～20ml行损毁治疗。治疗后评价疼痛缓解度和不良反应。结果疼痛缓解度：药物组完全缓解（CR）1例,明显缓解（PR）11例,轻度缓解（MR）5例;介入组CR 17例,PR 2例,MR 1例,明显缓解率介入组（95.0%）高于药物组（60.0%）,差异有统计学意义（P〈0.05）。介入组不良反应发生率（25.0%）明显低于药物组（90.0%）,差异亦有统计学意义（P〈0.01）。结论 CT引导下腹腔神经丛阻滞术治疗胰腺癌合并重度腹痛疗效确切、安全性高。
|
| 关 键 词： | 介入治疗 胰腺癌 腹痛,癌性 腹腔神经丛阻滞 CT引导 |
Effect of neurolytic celiac plexus block guided by computerized tomography on pancreatic cancer combined with severe abdominal pain |
| |
| ZHENG Lin,LI Hai-liang,GUO Chen-yang. Effect of neurolytic celiac plexus block guided by computerized tomography on pancreatic cancer combined with severe abdominal pain[J]. Journal of Difficult and Complicated Cases, 2011, 10(7): 512-514. DOI: 10.3969/j.issn.1671-6450.2011.07.015 |
| |
| Authors: | ZHENG Lin LI Hai-liang GUO Chen-yang |
| |
| Affiliation: | ZHENG Lin,LI Hai-liang,GUO Chen-yang.Department of Invasive Technology,Henan Tumor Hospital,Zhengzhou 450003,China |
| |
| Abstract: | Objective To evaluate the therapeutic effect of neurolytic celiac plexus block(NCPB) guided by computerized tomography(CT) on pancreatic cancer with abdominal pain.Methods 40 patients with pancreatic cancer and severe abdominal pain were divided into two groups randomly with random number table.Group A(treatment group) with 20 cases, thy were treated with morphine sulfate sustained-release tablets,10mg,bid,and gradually adjust the dose according to analgesic efficacy to 30 mg,bid.Group B(intervention group)... |
| |
| Keywords: | Interventional treatment Pancrentic cancer Obdominal pain cancer Neurolytic celiac plexus CT guiding |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
