【摘要】 目的探讨左侧内脏大神经切断术治疗胰源性疼痛的治疗效果。方法2002年1月~2004年12月行左侧内脏大神经切断术17例,其中晚期胰腺癌12例,慢性胰腺炎4例(其中1例合并胰管结石),胃癌侵及胰腺1例。结果以视觉模拟评级法进行疼痛评分,术前平均为(9.32±0.45)分,术后平均为(1.56±0.87)分,差异有显著意义(P<0.01)。患者术前均需服用止痛药物止痛,术后感觉疼痛明显缓解或消失,无需止痛药物止痛。术后除出现轻度腹胀外,未出现腹泻及心血管系统功能紊乱等并发症。结论经腹腔左侧内脏神经切断术治疗胰源性腹痛疗效确切,并发症少,操作简单。更多还原

【Abstract】 Objective To investigate the effect of transhiatal left splanchnicectomy(TLS) for the pain of pancreatic origin. Methods TLS was done in 17 patients from January 2002 to December 2004, which indicated by end-staged pancreatic carcinoma in 12 cases, chronical pancreatitis in 4 cases and pancreatic infiltration by gastric carcinoma in 1 case. Results Pain extent was scored according to visual analogue scale, showing significant difference between pre- and postoperative measurement, (9.32±0.45) vs. (1.56±0.87)(P<0.01). All patients became independent of analgesic after operation result from removal or significant relief of pain. No complication observed except mild abdominal distention. Conclusion TLS is an effective way for relieving the pain of pancreatic origin with a simple procedure and low risk.更多还原