【作者】 俞永林； 吴建国；

【Author】 Yu yonglin Wujianguo Department of Orthopaedics, Huashan Hospital, Fudan University , Shanghai, P. R. China 200040

【机构】 复旦大学附属华山医院骨科；

【摘要】 目的:总结颈丛封闭治疗颈丛神经受压引起的颈肩痛的经验。方法:自2001年1月至2004年3月,作者对局封治疗的颈丛神经受压的68例颈肩痛患者的疗效作随访和分析,进针点在胸锁乳突肌后缘与颈外静脉交界处的上后方或下方。结果:有完整随访资料的68例中,疗效优54例(79.41%),良8例(11.77%),可2例(2.94%),差4例(5.88%)。优良率为91.18%。结论:一旦诊断为颈丛神经受压,应首选局封治疗。而局封对大部分病人有效。但应注意与颈椎间盘突出症和臂丛神经血管受压综合征的鉴别。更多还原

【Abstract】 Objective: To summarize the experience for treatment of shoulder and neck pain caused by cervical plexus compression with regional block. Methods:68 cases who had shoulder andneck pain caused by cervical plexus compression treated with regional block, their therapeutic effects were followed up and analyzed. The injected point was atthesuperior-posterior orinferior area of thecross pointof posterior sternocleidomastoid muscle and external jugular vein. Results: All the cases were followed up, Among them 68 cases had intact material. Treatment outcome revealed excellent in 54 cases (79.41%), good in 8 cases (11.77%), fair in 2 cases(2.94%) and poor in 4 cases(5.88%). Conclusions: When the diagnosis of cervical plexus compression was made sure, regional block was the first choice of the treatment methods, and it was effective for most of the patients. But we should pay attention to differentiate with the cervical disc protrusion and the brachial angioneurotic entrapment syndrome.更多还原