Voboril Z, Jon B
Chirurgická klinika LF UK v Hradci Králové.
Rozhl Chir. 1994 May;73(4):154-6.
In the foreground of the clinical picture of chronic pancreatitis and carcinoma of the pancreas is pain which frequently is difficult to control by drugs. The authors evaluate in a group of 18 patients with severe epigastric pain associated with carcinoma and in chronic pancreatitis the analgesic effect of splanchnicectomy. In 29.4% of operated patients after surgery pain disappeared completely, 47% of the patients reported substantial relief after surgery. Only in 17.7% of the patients the operation produced no effect. With regard to their own experience the authors can recommend splanchnicectomy in pain associated with diseases of the pancreas which cannot be influenced by other means.
在慢性胰腺炎和胰腺癌的临床症状中，疼痛是主要问题，且常常难以通过药物控制。作者对18例伴有严重上腹部疼痛的胰腺癌和慢性胰腺炎患者进行了评估，观察内脏神经切除术的镇痛效果。术后，29.4%的手术患者疼痛完全消失，47%的患者表示术后疼痛大幅缓解。只有17.7%的患者手术无效。基于自身经验，作者推荐对其他方法无法缓解的胰腺疾病相关疼痛进行内脏神经切除术。
