ĐÁNH GIÁ HIỆU QUẢ PHƯƠNG PHÁP TIÊM HUỶ ĐÁM RỐI DƯƠNG DƯỚI HƯỚNG DẪN CỦA C-ARM QUA ĐƯỜNG XUYÊN ĐĨA ĐỆM CỘT SỐNG ĐỂ ĐIỀUTRỊ ĐAU CHO NGƯỜI BỆNH UNG THƯ VÙNG BỤNG

Abstract

Introduction: Pain is the most common symptom in advanced stage cancer patients. Drug therapy controls cancer pain in 70 – 90% of patients. Neurolysis has been claimed to be the best treatment. C-Arm guide celiac plexus neurolysis technique by the transintervertebral disc approach is often used because it is the easiest approach, and the loss of resistance technique can accurately position the puncture needle. Patients and methods: Fifty patients with abdominal cancer pain undergo neurolysis with  absolute alcohol by the D12 – L1 and L1 -L2 transintervertebral disc approach. The needle penetrates the intervertebal disc and the needle tip is placed in the postaortic retrocrural space. All patients were monitored for changes in VAS score, quality of life, complications effects before and after intervention. Results: C-Arm guide celiac plexus neurolysis technique by the transintervertebral disc approach is simple, safe and less invasive. VAS scores decreased significantly at all time points after the intervention and lasted for up to 3 months. The quality of life improved significantly after intervention, peaking at 1 month after discharge from the hospital and gradually decreasing due to the severity of the cancer disease.