[1]席芊,王培军,尚鸣异,等.CT引导下穿入淋巴结内无水乙醇腹腔神经丛阻滞术治疗顽固性癌性腹痛[J].介入放射学杂志,2010,(05):386.
　XI Qian,WANG Peijun,SHANG Mingyi,et al.CT－guided percutaneous ethanol nerve block therapy of celiac plexus embedded in metastatic lymph nodes for the treatment of intractable carcinomatous abdominal pain[J].journal interventional radiology,2010,(05):386.
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CT引导下穿入淋巴结内无水乙醇腹腔神经丛阻滞术治疗顽固性癌性腹痛()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2010年05期
页码:
386
栏目:
非血管介入
出版日期:
2010-05-15

文章信息/Info

Title:
CT－guided percutaneous ethanol nerve block therapy of celiac plexus embedded in metastatic lymph nodes for the treatment of intractable carcinomatous abdominal pain
作者:
席芊; 王培军; 尚鸣异; 等
２０００６５上海同济大学附属同济医院放射科
Author(s):
XI Qian; WANG Pei－jun; SHANG Ming－yi; MA Jun; LU Ying; HUANG Zong－liang; TANG Jun－jun; GAO Xiao－long．
Affiliated Tongji Hospital，School of Medicine，Tongji University，Shanghai２０００６５，China
关键词:
疼痛; 顽固性; 无水乙醇; 腹腔神经丛; 阻滞; 淋巴结
分类号:
R７３２
摘要:
目的评价CT引导下经皮穿入淋巴结内腹腔神经丛阻滞术对伴有后腹膜淋巴结广泛肿大、融合，并侵犯、包裹腹腔神经丛的顽固性癌性腹痛的止痛效果。方法１０４例晚期癌症患者，均有严重的上腹部疼痛、伴有后腹膜淋巴结广泛肿大，并融合成团块状。采用过麻醉类止痛药治疗，效果均不佳。应用CT引导下穿入淋巴结内无水乙醇阻滞方法进行治疗。结果治疗后即刻，２周，１、２、３和４个月的止痛有效率分别为１００％、１００％、１００％、９８．０％、９６．９％、９２．６％。围手术期无严重并发症，治疗后生活质量明显改善。结论对伴有后腹膜淋巴结广泛肿大，融合成块，并侵犯、包裹腹腔神经丛的顽固性癌性腹痛患者，采用穿入淋巴结内阻滞疗法，可取得较好的止痛治疗效果，具有较高的临床价值。

参考文献/References:

［１］周军，念丁芳，黄祥龙，等．CT引导下阻滞腹腔神经丛治疗顽固性癌痛［J］．介入放射学杂志，２００４，１３：６４－６５．
［２］倪家骧，郭玉娜，任玉娥，等．CT引导下腹腔神经丛毁损术治疗慢性顽固性腹部癌痛［J］．中国疼痛医学杂志，２００４，１０：１９８－１９９．
［３］王培军，左长京，崔恒武，等．穿入淋巴结内腹腔神经丛阻滞术的临床应用研究［J］．放射学实践，２００１，１６：３８４－３８７．
［４］崔恒武，田建明，王培军，等．CT导引下腹腔神经丛阻滞治疗上腹部顽固性癌性疼痛的研究［J］．中华放射学杂志，１９９９，３３：８３１－８３３．
［５］Brown DL，Bulley CK，Quiel EL．Neurolytic celiac plexus block for pancreatic cancer pain［J］．Anesth Analg，１９８７，６６：８６９－８７３．
［６］Lee MJ ，Mueller PR，van Sonnenberg E，et al．CT－guided celiac ganglion block with alcohol［J］．AJR，１９９３，１６１：６３３－６３６．

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备注/Memo

备注/Memo:
收稿日期：２０１０－０３－１７
更新日期/Last Update: 2010-05-15