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目的:观察加热乙醇腹腔神经丛阻滞术对晚期癌性上腹痛患者的治疗效果。方法:22例加热组和23例常温组晚期癌性上腹痛患者,CT引导下分别于背侧入路实施经皮穿刺无水乙醇双侧腹腔神经丛阻滞术.止痛效果分为0级～Ⅲ级,分别于术后2周、1个月、2个月、3个月时观察止痛效果。结果:随访观察3个月.治疗后2周、1个月、2个月及3个月时加热组的显效率和有效率显著高于常温组,P<0.05,具有统计学差异。45例中无一例出现严重并发症。结论:加热乙醇腹腔神经丛阻滞乙醇弥散良好,可获得较常温乙醇更好的止痛效果。是一种安全、有效的方法。
Objective: To observe the effect of heating ethanol celiac plexus block on patients with advanced cancerous upper abdominal pain. Methods: Twenty-two patients in the heating group and 23 patients with advanced cancerous upper abdominal pain in the normothermia group underwent CT percutaneous dural percutaneous ethanol injection of celiac plexus block in the dorsal approach.The analgesic effects were divided into 0 ~ Ⅲ grade, respectively, after 2 weeks, 1 month, 2 months, 3 months to observe the analgesic effect. Results: The follow-up observation for 3 months showed that the markedly effective rate and effective rate of the heating group were significantly higher than those of the normal temperature group at 2 weeks, 1 month, 2 months and 3 months after treatment, with statistical significance. None of the 45 patients had serious complications. Conclusion: It is found that heating ethanol with celiac plexus blocks the good ethanol dispersion and obtaining better analgesic effect than ethanol at normal temperature. Is a safe and effective way.