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[腹腔神经丛酒精阻滞治疗重度内脏痛]

[Alcohol block of the celiac plexus in severe visceral pain].

作者信息

Horák J, Antos Z, Dutka J, Suchý B, Vasícek M

机构信息

Rentgenologické oddĕlení Ustrední vojenské nemocnice, Praha.

出版信息

Vnitr Lek. 1992 Oct;38(10):952-8.

PMID:1481372
Abstract

The authors present their own experience with percutaneous alcohol block of the coeliac plexus. Between April 1988 and December 1991 they used it in 22 patients. Except one patient the others suffered from severe pain of abdominal organs associated with carcinoma of the pancreas. The first four operations were made using angiography, the remainder under CT control. During evaluation of results two weeks after the intervention complete regression of pain was recorded in six patients. A partial effect was achieved in 11 patients, and the intervention failed in five patients. The intervention was repeated in four patients. The authors emphasize that the procedure is relatively simple and safe, and if successful, makes it possible to reduce or even eliminate opiates. It improves the quality of the remaining life of the patient.

摘要

作者介绍了他们在经皮酒精阻滞腹腔神经丛方面的经验。在1988年4月至1991年12月期间,他们对22例患者进行了该操作。除1例患者外,其他患者均患有与胰腺癌相关的腹部器官剧痛。前4例手术采用血管造影,其余手术在CT引导下进行。在干预两周后的结果评估中,6例患者疼痛完全缓解。11例患者有部分效果,5例患者干预失败。4例患者重复进行了该干预。作者强调该操作相对简单且安全,若成功,可减少甚至消除阿片类药物的使用,提高患者剩余生命的质量。

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