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[超声引导下及术中腹腔神经节酒精阻滞治疗保守治疗无效的癌性上腹部疼痛]

[Sonographically guided and intraoperative alcohol block of the celiac ganglia in conservatively uncontrollable cancer-induced epigastric pain].

作者信息

Greiner L, Ulatowski L, Prohm P

出版信息

Ultraschall Med. 1983 Mar;4(1):57-9. doi: 10.1055/s-2007-1013039.

DOI:10.1055/s-2007-1013039
PMID:6648478
Abstract

Preliminary results of sonographically controlled alcohol injection into the region of the coeliacal ganglion for treatment of medically intractable pain in inoperable pancreas carcinoma (6 patients) are compared with results of a similar treatment using a surgical approach (10 patients). Both procedures resulted in up to total pain relief and marked reduction of consumption of analgetics. Neurolysis of the coeliacal ganglion by means of sonographically guided alcohol injection seems to be a useful treatment to reduce pain in inoperable pancreas carcinoma.

摘要

将超声引导下酒精注射至腹腔神经节区域用于治疗无法手术的胰腺癌所致药物难治性疼痛(6例患者)的初步结果,与采用手术入路的类似治疗结果(10例患者)进行了比较。两种方法均实现了高达完全疼痛缓解以及镇痛药消耗量显著减少的效果。通过超声引导下酒精注射对腹腔神经节进行神经溶解术似乎是一种减轻无法手术的胰腺癌疼痛的有效治疗方法。

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1
[Sonographically guided and intraoperative alcohol block of the celiac ganglia in conservatively uncontrollable cancer-induced epigastric pain].[超声引导下及术中腹腔神经节酒精阻滞治疗保守治疗无效的癌性上腹部疼痛]
Ultraschall Med. 1983 Mar;4(1):57-9. doi: 10.1055/s-2007-1013039.
2
Initial evaluation of the efficacy and safety of endoscopic ultrasound-guided direct Ganglia neurolysis and block.内镜超声引导下直接神经节溶解和阻滞的疗效及安全性的初步评估。
Am J Gastroenterol. 2008 Jan;103(1):98-103. doi: 10.1111/j.1572-0241.2007.01607.x. Epub 2007 Oct 26.
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Randomized, double-blind, controlled trial of early endoscopic ultrasound-guided celiac plexus neurolysis to prevent pain progression in patients with newly diagnosed, painful, inoperable pancreatic cancer.随机、双盲、对照临床试验:早期内镜超声引导腹腔神经丛松解术预防新诊断的、疼痛的、不可手术的胰腺癌患者疼痛进展。
J Clin Oncol. 2011 Sep 10;29(26):3541-6. doi: 10.1200/JCO.2010.32.2750. Epub 2011 Aug 15.
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[Results and complications of alcohol block of the celiac ganglia].[腹腔神经节酒精阻滞的结果与并发症]
Cah Anesthesiol. 1987 Mar-Apr;35(2):141-3.
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[Celiac ganglion blockade: the effectiveness of CT guided percutaneous anterior approach].[腹腔神经节阻滞:CT引导下经皮前路穿刺的有效性]
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[Intraoperative neurolysis of the celiac plexus in patients with unresectable pancreatic cancer].[不可切除胰腺癌患者腹腔神经丛的术中神经松解术]
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[Analgesic effect of neurolytic celiac plexus block guided by ultrasonography in advanced malignancies].超声引导下腹腔神经丛阻滞对晚期恶性肿瘤的镇痛效果
Zhonghua Yi Xue Za Zhi. 2001 Apr 10;81(7):418-21.
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[Celiac neurolysis. Anterior approach and x-ray computed tomographic guidance: a simple and logical technic].[腹腔神经丛松解术。前路及X线计算机断层扫描引导:一种简单合理的技术]
Ann Radiol (Paris). 1989;32(3):230-3.
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CT-guided celiac ganglion block with alcohol.CT引导下酒精腹腔神经节阻滞术
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Neurolytic celiac plexus block for pancreatic cancer pain.用于胰腺癌疼痛的腹腔神经丛毁损术
Anesth Analg. 1987 Sep;66(9):869-73.

引用本文的文献

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Celiac ganglia: can they be misinterpreted on multimodal 68Ga-PSMA-11 PET/MR?腹腔神经节:在多模态68Ga-PSMA-11 PET/MR上会被误诊吗?
Nucl Med Commun. 2019 Feb;40(2):175-184. doi: 10.1097/MNM.0000000000000944.
2
Celiac plexus neurolysis in pancreatic cancer: the endoscopic ultrasound approach.胰腺癌腹腔神经丛松解术:内镜超声方法。
World J Gastroenterol. 2014 Jan 7;20(1):110-7. doi: 10.3748/wjg.v20.i1.110.