Department of Urology, University of North Carolina Medical Center, Chapel Hill, North Carolina, USA.
Can J Urol. 2021 Feb;28(1):10556-10559.
Non-obstructive, chronic flank pain in urologic patients can be a challenging problem to manage. In this series, we examined the efficacy of celiac plexus blockade in providing pain relief and reducing opiate use in 14 adult urology patients with non-obstructive flank pain for > 1 year. Demographic, clinical, and procedural variables were collected from the medical record for retrospective analysis. Subjective improvement in pain occurred in 11 individuals (79%), and 5 (50%) were able to reduce their daily morphine equivalent dose (MED). Celiac plexus blockade is a viable option for symptomatic relief in urologic patients with non-obstructive chronic flank pain.
非梗阻性、慢性腰部疼痛是泌尿科患者常见的棘手问题。本系列研究中，我们对 14 例非梗阻性腰部疼痛持续>1 年的成年泌尿科患者进行腹腔神经丛阻滞，以评估其缓解疼痛和减少阿片类药物使用的效果。我们从病历中收集了人口统计学、临床和操作变量进行回顾性分析。11 例患者（79%）的疼痛得到了主观改善，5 例患者（50%）能够减少每日吗啡等效剂量（MED）。腹腔神经丛阻滞是治疗非梗阻性慢性腰部疼痛的泌尿科患者的一种可行的对症治疗方法。
