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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.

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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