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Endoscopic ultrasound- guided celiac plexus neurolysis in treatment of abdominal pain caused by cholangiocarcinoma:a case report
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摘要: <正>1病例资料患者男性,57岁,因"反复腹痛4个月"于2016年6月16日收入本院。既往2014年12月在本院确诊为"胆管癌合并双肺、多发淋巴结转移",起病以来先后行多次化疗及胆管原发灶和左侧锁骨上淋巴结转移灶的放疗。放化疗期间有持续性中上腹及右上腹胀痛,有肛门排气排便,无伴发热、恶心呕吐、胸闷胸痛,有向后背部放射,采用视觉模拟评分(visual ana-
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Key words:
- bile duct neoplasms /
- endosonography /
- celiac plexus /
- case reports
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[1]ZHENG XH,WANG SG.Advance in the study of invasion and metastasis of cholangiocarcinoma[J].World Chin J Dig,2007,15(3):276-281.(in Chinese)郑秀海,王曙光.胆管癌浸润转移途径及其机制[J].世界华人消化杂志,2007,15(3):276-281. [2]SUN SY,LIU CY,LI XL,et al.Endoscopic ultrasonography guided celiac plexus neurolysis for relieving abdominal pain in advanced pancreatic carcinoma[J].Chin J Dig Endosc,2001,18(5):264-266.(in Chinese)孙思予,刘春英,李小力,等.内镜超声引导下腹腔神经丛阻滞缓解进展期胰腺癌的疼痛[J].中华消化内镜杂志,2001,18(5):264-266. [3]ZHOU SJ,ZHENG YJ,WANG XR.Endoscopic ultrasoundguided celiac plexus neurolysis in treatment of pancreatic cancer pain[J].Shanghai Med J,2009,32(6):543-546.(in Chinese)周姝婧,郑拥军,王祥瑞.超声内镜引导腹腔神经丛毁损治疗胰腺癌疼痛[J].上海医学,2009,32(6):543-546. [4]TIAN XX,ZHAO XY,LI YH,et al.The clinical experience of refractory abdominal pain treated by celiac plexus neurolysis under endoscopy ultrasonography guided in 26 cases[J].J Reg Anat Oper Surg,2010,19(3):206-207.(in Chinese)田小溪,赵晓晏,李宜辉,等.超声内镜引导下腹腔神经节阻滞术治疗顽固性腹痛26例临床分析[J].局解手术学杂志,2010,19(3):206-207. [5]ZHONG N,LI YQ,LI WJ,et al.Study of endoscopic ultrasoundguided celiac plexus neurolysis combined with local chemotherapy for pancreatic cancer pain[J].Chin J Ultrasonogr,2005,14(8):576-579.(in Chinese)钟宁,李延青,李文捷,等.内镜超声引导下腹腔神经丛阻滞联合局部化疗在胰腺癌长期镇痛治疗中的研究[J].中华超声影像学杂志,2005,14(8):576-579. -
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