Microsoft Word - CT引导下经皮穿刺单侧双针椎间盘入路内脏大小神经毁损治疗上腹部癌痛的临床研究.doc.pdf

CTCTCT引导下经皮穿刺刺单侧双针椎间盘入路内脏大小神经CT 引导下经皮穿刺刺单侧双针椎间盘入路内脏大小神经 毁损治疗上腹部癌痛的临床研究 胡建雷 丁力力 高翔 俞盛辉 宁波市鄞州人民医院麻醉科 [ 摘要摘要摘要]摘要 ] 目的目的目的 研究CT引导下经皮穿刺刺单侧双针椎间盘入路毁损内脏大 小神经治疗上腹部癌痛的临床疗效。方法方法方法方法 选择上腹部癌痛患者28例， 在CT引导下经皮穿刺刺单侧双针椎间盘入路，行无水乙醇毁损性阻滞内脏 大小神经。观察术后一周周疗效和和有无各种并发症；观察并记录术前前、术 后1周周、2月、3月患者的疼痛视觉模拟评分（VAS）；随访并记录生活质 量（QOL）评分。 结果结果结果 无一例发生严重并发症；术后1周周临床治愈21例， 显效7例，总有效率 100%；与术前前比较，术后各时间点的VAS评分降低 （p 0.05 ），而QOL评分则升高（p 0.05 ）。结论结论结论结论CT引导下经皮穿刺刺 单侧双针椎间盘入路毁损内脏大小神经治疗上腹部癌痛，疗效显著、操 作简单，提高了患者的生活质量。 [[[关键词[关键词关键词]] 内脏大小神经；癌性疼痛；无水乙醇； Clinical Research on the Treatment of Epigastric Cancer Pain with CT-guided Percutaneous Puncture Unilateral Double Needle Disc Approach into Splanchnic Nerves. HU Jian-Lei,DING li, GAO Shiang, YU sheng-huei.(Department of Anesthesiology, Yinzhou Peoples Hospital of Ningbo City,Zhejiang Province, Ningbo315040,China) Abstract: Objectives: to study the clinical effect of treatment of epigastric cancer pain with CT-guided percutaneous puncture unilateral double needle disc approach into splanchnic nerves. Methods: 28 cases of patients with epigastric cancer pain were selected to take CT-guided percutaneous puncture unilateral double needle disc approach splanchnic nerve block with ethanol absolute. Observe the curative effect and complications one week after operation. Observe and record patients’visual analogue scale (VAS) one week, two months and three months after operation. Follow-up visit and record patient’s quality of life (QOL). Results: No serious complications were found. 21 cases were clinically cured one week after operation with 7 excellent cases. The total effective rate was 100%. Compared with pre-operation, VAS marks at each time point were decreasing (p0.05), while QOL marks were increasing (p0.05). Conclusion: It is effective and si