经皮腹腔神经丛阻滞术治疗晚期癌性上腹部疼痛的疗效观察

目的　探讨经皮腹腔神经丛阻滞术对晚期癌性疼痛的疗效。方法　对常规止痛治疗无效的 3 6例晚期癌症 ,采用 2 2GChiba穿刺针 ,经脊柱侧后方入路 ,缓慢注入 95 %的无水乙醇约 3 0ml。止痛疗效观察采用视觉权衡评分法 (VAS)。结果　 3 6例病人均注射治疗成功。术后48hVAS测定 ,疼痛完全缓解者 12例 ( 3 3 3 %) ,部分缓解者 16例 ( 4 4.4%) ,无效者 8例 ( 2 2 .2 %)。总缓解为 77.8%。结论　经皮腹腔神经丛阻滞术治疗晚期癌性疼痛疗效确切 ,安全 ,并发症少 ,是一种治疗晚期癌性疼痛的好方法

The Study of Controlling Intractable Upper Abdominal Pain Caused by Cancer Through Percutaneous Neurolytic Celiac Plexus Block( PNCPB )

Objective To evaluate the therapeutic effect of percutaneous neurplytic celiac plexus block(PNCPB) for malignant tumour patients.Methods 36 patients who intractable upper abdominal pain or accompanying referred back pain from cancer of pancreas,liver,etc,received percutaneous alcohol neurolytic celiac plexus blocks(PNCPB)under X Ray guidance.22 gauge Chiba needles and about 30ml alcohol was used through posterior lateral approach.VAS was accepted to evaluate the effects in thers patients.Results All operations were succeed.There were no severe complications in any case.After 48 hours,VAS was accepted to evaluate the effects,satisfactory pain relief results were obtained in 12 patients(33.3%),patial pain relief results were obtained in 16 patients(44.4%),no relief of pain occurred in 8 patients(22.2%).The total effective rates of pain relief was 77.8%.Conclusion PNCPB for malignant tumour patients proves to be an effective and safe means of controlling intractable upper abdominal cancer pain and should be popularized.