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目的探讨MR引导下腹腔丛阻滞术(NCPB)治疗上腹部癌性疼痛的价值。方法对12例恶性肿瘤引起上腹部癌性疼痛的患者进行MR引导下NCPB治疗,采用视觉模拟评分法(VAS)对治疗前后的疼痛强度进行动态随访,并对结果进行统计学处理。结果MR可以准确显示穿刺位置,穿刺成功率为92%,无严重并发症,治疗前后的疼痛强度有明显差异(P<0.01),并能保持长期止痛效果。结论MR引导下NCPB治疗上腹部顽固性癌痛是一种简单而有效的治疗方法。
Objective To investigate the value of MR guided celiac plexus block (NCPB) in the treatment of upper abdominal cancer pain. Methods NCPB treatment was performed in 12 patients with malignant upper abdominal cancer pain. The visual analog scale (VAS) was used to evaluate the pain intensity before and after treatment. The results were statistically analyzed. Results The puncture position was accurately displayed by MR. The puncture success rate was 92%. There was no serious complication. The pain intensity before and after treatment was significantly different (P <0.01), and long-term analgesic effect was maintained. Conclusion MR-guided NCPB treatment of refractory upper abdominal cancer pain is a simple and effective treatment.