本文選題：內臟大小神經 + 阻滯�。� 參考：《中國疼痛醫(yī)學雜志》2014年05期

【摘要】：目的:研究CT引導下經皮穿刺胸腔入路內臟大小神經阻滯術治療胰腺癌疼痛的臨床療效。方法:選擇胰腺癌晚期上腹部或腰背部頑固性疼痛患者42例,在CT引導下經胸腔入路雙針穿刺,行無水乙醇阻滯內臟大小神經。觀察有無各種并發(fā)癥;觀察并隨訪術前、術后1周、1個月、3個月患者的疼痛視覺模擬評分(visual analogue pain scale,VAS)隨訪并評定療效、生活質量(quality of life,QOL)評分及口服嗎啡日用量。結果:無一例發(fā)生嚴重并發(fā)癥;術后1周臨床治愈36例,顯效6例;與術前比較,術后各時間點的VAS評分及嗎啡日用量均較術前顯著降低(P0.05),而術后各時間點QOL評分則顯著升高(P0.05)。結論:CT引導下經皮穿刺胸腔入路內臟大小神經阻滯術治療胰腺癌頑固性疼痛療效好、安全性高、簡單易行,并顯著提高患者的生活質量。
[Abstract]:Objective: to study the clinical effect of CT-guided percutaneous thoracotomy and visceral nerve block in the treatment of pancreatic cancer pain. Methods: Forty-two patients with intractable pain in the upper abdomen or lower back of advanced pancreatic cancer were selected. Under the guidance of CT, the visceral and small nerves were blocked by anhydrous alcohol. All kinds of complications were observed and followed up before operation, 1 week, 1 month and 3 months after operation. Visual analogue pain scale (VAS) was followed up to evaluate the efficacy, quality of life (QOL) score and daily dose of morphine. Results: no serious complications occurred, 36 cases were cured 1 week after operation, 6 cases were significantly improved. Compared with preoperative, the VAS score and daily dose of morphine at each time point after operation were significantly lower than those before operation (P 0.05), but the QOL score at each time point after operation was significantly higher than that before operation (P 0.05). Conclusion Percutaneous thoracotomy with small and small visceral nerve block under the guidance of CT is effective, safe, simple and effective in the treatment of intractable pain of pancreatic cancer. It also improves the quality of life of the patients.
【作者單位】： 寧波大學醫(yī)學院附屬李惠利醫(yī)院疼痛科;南昌大學第一附屬醫(yī)院疼痛科;
【分類號】：R739.5

【相似文獻】

相關期刊論文 前10條

1 唐桂良,徐國強;改良閉孔神經阻滯術在經尿道膀胱腫瘤電切術中的應用[J];浙江臨床醫(yī)學;2005年01期

2 徐初亮,楊柳平,鄧軍洪,胡建波,魏鴻藹,王良圣,鐘紅;前列腺神經阻滯術在經直腸前列腺穿刺活檢術中的應用[J];醫(yī)學臨床研究;2003年03期

3 黃一鳴,趙長杰,陳雄斌;CT引導下腹腔神經阻滯術用于上腹部癌痛[J];老年醫(yī)學與保健;2001年03期

4 申鵬,陳勇,李彥豪;肝癌介入術后呃逆的治療研究[J];介入放射學雜志;2002年06期

5 邢學寧,胡學仁,李忠田;60例甲狀腺腫瘤手術頸叢與硬膜外阻滯效果比較[J];寧夏醫(yī)學雜志;1997年01期

6 關天瑜;腫瘤的綜合治療[J];右江民族醫(yī)學院學報;1997年S1期

7 李婕琳;;胰腺癌疼痛治療方法簡要綜述[J];中國醫(yī)藥指南;2010年06期

8 ;[J];;年期

9 ;[J];;年期

10 ;[J];;年期

，

本文編號：1976146