Clinical application of CT-guided curve-needle percutaneous ethanol injection for celiac plexus block analgesia
- VernacularTitle:CT引导弯针穿刺在腹腔神经丛阻滞术中的临床应用
- Author:
Cheng-Wei SHAO
;
Chang-Jing ZUO
;
Jian-Ming TIAN
;
Qi ZHAO
;
Tao-Zhen LV
;
- Publication Type:Journal Article
- Keywords:
pain,intractable;
neoplasms;
celiac plexus block;
bending needle;
tomography,X-ray computed
- From:
Academic Journal of Second Military Medical University
1999;0(12):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To validate the clinical value of CT-guided curve-needle percutaneous ethanol injection (CNPEI) for celiac plexus block analgesia. Methods: Thirty-two patients with end-stage cancer, including 13 complicated with extensive retroperitoneal lymph node enlargement and fusion, were enrolled in this study. All patients complained of refractory upper abdominal pain and had received narcotic analgesics and radiotherapy, but the analgesic effect was not good. CT-guided CNPEI was therefore prescribed. Results: The effective rates of CT-guided CNPEI were 100%, 100%, 96.9%, 90.6%, 87.5%, and 84.4% immediately,and at 2 weeks, 4 weeks, 8 weeks, 12 weeks, and 16 weeks after treatment, respectively. All enlarged lymph nodes had obvious necrosis and became shrunk. Conclusion: Combined application of bilateral anterior and posterior diaphragmatic crura block and trans-lymph node block can produce good analgesic effects, and curve-needle puncture make the above technique simpler.
