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目的 评价CT引导下经腹前壁途径腹腔神经丛阻滞术 (NCPB)治疗上腹部及后背癌性疼痛的疗效和安全性。方法 回顾性分析了 2 4例接受CT引导下经腹前壁穿刺无水酒精腹腔神经丛阻滞治疗癌性疼痛的中、晚期胰腺癌和其它恶性肿瘤患者的临床资料。结果 短期疗效 (<2周 )的有效率为 91.7% ,完全缓解率为 45 .8% ;长期疗效 (>3个月 )的有效率为 71.4% ,完全缓解率为 14.3%。无 1例严重并发症。结论 CT引导下经腹前壁穿刺腹腔神经丛阻滞术是一种简便、安全、有效的治疗上腹部及后背癌性疼痛的方法。
Objective To evaluate the efficacy and safety of CT-guided abdominal anterior abdominal plexus block (NCPB) in the treatment of cancer pain in the upper abdomen and back. METHODS: The clinical data of 24 patients with moderate-advanced pancreatic cancer and other malignant tumors treated with CT-guided anterior abdominal puncture anesthesia with alcohol-free celiac plexus block for the treatment of cancer pain were retrospectively analyzed. Results The short-term efficacy (<2 weeks) was 91.7%, the complete remission rate was 45.8%, the long-term efficacy (>3 months) was 71.4%, and the complete remission rate was 14.3%. No serious complications occurred. Conclusion CT-guided abdominal anterior abdominal plexus block is a simple, safe and effective method for the treatment of cancer pain in the upper abdomen and back.