Ihse I, Andersson R, Axelson J
Department of Surgery, University Hospital, Lund, Sweden.
Digestion. 1993;54 Suppl 2:30-4. doi: 10.1159/000201100.
The non-surgical management of chronic pancreatic pain is reviewed. In accordance with the suggested multifactorial origin of pancreatic pain, different treatment principles are practised. Besides conventional analgesic drugs, oral pancreatic enzymes seem efficient in a subgroup of patients with chronic pancreatitis. Endoscopic treatment aiming at reduction of the pancreatic duct-tissue pressure is promising, but it is still in its infancy. Coeliac nerve blockage is recommended in patients with pancreatic cancer and pain, whereas external radiotherapy plays a role in a diminishing number of these patients. Treatment of chronic pancreatic pain is an example of a complex clinical problem in which a multidisciplinary approach is mandatory.
本文综述了慢性胰腺疼痛的非手术治疗方法。鉴于胰腺疼痛可能源于多种因素，因此采取了不同的治疗原则。除了传统的镇痛药外，口服胰酶对一部分慢性胰腺炎患者似乎有效。旨在降低胰管-组织压力的内镜治疗前景广阔，但仍处于起步阶段。对于胰腺癌伴疼痛的患者，建议进行腹腔神经丛阻滞，而接受体外放疗的此类患者数量正在减少。慢性胰腺疼痛的治疗是一个复杂的临床问题，多学科方法必不可少。
