ĐÁNH GIÁ HIỆU QUẢ GIẢM ĐAU CỦA PHƯƠNG PHÁP PHÂN LY THẦN KINH TẠNG TRONG ĐAU BỤNG TRÊN TẠI BỆNH VIỆN K

Abstract

Objectives: To evaluate the pain relief effectiveness of splanchnic nerve neurolysis in upper abdominal pain. Methods: A comparative intervention study on 45 cancer patients with upper abdominal pain with VAS ≥ 7 points and meeting selection criteria. Clinical intervention research method without control group from March 2022 to August 2023 at National Cancer Hospital. Results: 45 patients included 20 males and 25 females, the average age was 62.1 ± 10.9. Before the intervention, the pain was much more severe, with VAS ≥ 7 points. After one week of intervention, all patients achieved the expected level of pain relief, including 40/45 patients with good results and 5/45 patients with effective results. The effect is maintained after one month. Common complications are postural hypotension (13.3%) and alcohol intoxication (13.3%). There were no cases of serious complications. Conclusion: The results show that the splanchnic nerve neurolysis technique using absolute alcohol under the guidance of CT and DSA is an effective and relatively safe intervention method for persistent pain in the upper abdomen. Using CT or DSA guidance both brings positive results; the choice depends on available conditions.