CAJ | 학술논문

目的探讨彩超引导下的腹腔神经丛阻滞术(CPN)治疗晚期癌症腹痛的临床疗效.方法采用彩超引导下进行腹腔神经丛无水乙醇阻滞术,观察病人腹痛缓解情况.结果治疗2、4、8天后病例疼痛缓解率分别为56.7％、93.3％、96.7％,12周疼痛缓解率为72.7％,24周疼痛缓解率为54.5％.结论在彩超引导下的腹腔神经丛阻滞是治疗由晚期胰腺癌、腹腔转移癌等引起的剧烈腹痛较为安全、有效的方法.
목적 탐토채초인도하적복강신경총조체술(CPN)치료만기암증복통적림상료효.방법 채용채초인도하진행복강신경총무수을순조체술,관찰병인복통완해정황.결과 치료2、4、8천후병례동통완해솔분별위56.7％、93.3％、96.7％,12주동통완해솔위72.7％,24주동통완해솔위54.5％.결론 재채초인도하적복강신경총조체시치료유만기이선암、복강전이암등인기적극렬복통교위안전、유효적방법.
Objective To explore the clinical efficacy of celiac plexus neurolysis (CPN) for abdominal pain associated with advanced cancer under guidance of color Doppler ultrasound.Methods CPN with absolute alcohol was performed under guidance of color Doppler ultrasound.The relief of abdominal pain was observed.Results The rate of pain relief was 56.7％ on day 2,93.3％ on day 3,and 96.7％ on day 8,and 72.7％ on week 12 and 54.5％ on week 24 after treatment.Conclusions Ultrasound-guided celiac plexus block is a safe,effective approach for severe abdominal pain caused by advanced pancreatic cancer and peritoneal metastasis.