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目的:评价CT引导下经皮腹腔神经丛阻滞(NCBP)治疗癌性疼痛的安全性和疗效。方法:11例晚期肿瘤伴持续性疼痛患者,在CT引导下采用双侧后路膈脚前阻滞法阻滞腹腔神经丛。结果:11例NCBP技术成功率100%。术后1周完全缓解(CR)7例、部分缓解(PR)3例、轻度缓解(MR)1例,有效率90.9%。术后2个月CR:5例、PR:3例、MR:3例,有效率72.7%。3例发生体位性低血压,3例出现轻中度腹泻。结论:CT引导下经皮腹腔神经丛阻滞治疗癌性疼痛,是一种安全、有效的方法。
Objective: To evaluate the safety and efficacy of CT guided percutaneous celiac plexus block (NCBP) in the treatment of cancer pain. Methods: Eleven patients with advanced tumors with persistent pain were treated with CT-guided bilateral posterior septum block to block the celiac plexus. Results: 11 cases of NCBP technology success rate of 100%. In the first week after operation, 7 cases were completely relieved (CR), 3 cases were partial remission (PR), 1 case was mild remission (MR), the effective rate was 90.9%. 2 months after surgery CR: 5 cases, PR: 3 cases, MR: 3 cases, the effective rate was 72.7%. 3 cases of orthostatic hypotension, 3 cases of mild to moderate diarrhea. Conclusion: CT-guided percutaneous celiac plexus blockade of cancer pain is a safe and effective method.