Assessment of consecutive neurolytic celiac plexus block technique outcomes in the management of refractory visceral cancer pain
YANG Fengrui
WU Baishan
LAI Guanghui
WANG Qi
NI Jiaxiang
Abstract：Objective To explore the efficacy and safety of two-time celiac plexus block for the treatment of abdomi-nal damage of intractable visceral pain caused by cancer .Methods For inpatients from January 2005 to December 2011 who were failed of conservative treatment of pain and underwent CT-guided celiac plexus blockade two-time block for the treatment of intractable cancer pain ,24 cases were analyzed to evaluate the pain relief ,adverse reactions and complications .Results Two-time celiac plexus blockade can relieve patients of pain , VAS score from preoperative (8.3 ±1.3) points down to postop-erative (1.4 ±1.1) points, morphine from preoperative (120 ±80 ) mg/d down to postoperative 0, compared with preopera-tive differences were statistically significant ( P <0.01 or P <0.05);pain relief last 6 months or until death.Mild diarrhea which occurred in 8 cases (33.3%), hypotension in 8 cases (37.5%), transient lower extremity weakness in 1 case (4.2%), but no procedure-related deaths occurred.Conclusion CT-guided celiac plexus blockade double times of arrest can effectively alleviate the intractable abdominal visceral pain in patients with cancer pain , significantly reduced opioid con-sumption, thus reducing the adverse effects of analgesics , and the long-term clinical outcome and safe .
Keywords：PaincancerousvisceralNeurolytic celiac plexus blockconsecutiveEffect
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 59-62 )