摘要
目的探求肩胛骨背面软组织及腋神经分布区压痛点阻滞在肱骨外上髁炎治疗中的重要性。方法肱骨外上髁炎患者46例，根据查体时滑动按压肩胛骨背面软组织及腋神经分配区，其肱骨外上髁的疼痛有无暂时性消失或缓解分成3组。A组6例为肱骨外上髁的疼痛暂时性消失，B组35例为肱骨外上髁的疼痛不同程度缓解，C组5例为肱骨外上髁的疼痛无缓解。3组患者首先行肩胛骨背面软组织及腋神经分布区压痛点阻滞，根据肱骨外上髁的主诉痛及压痛是否消失再补行肱骨外上髁局部阻滞。结果1个疗程后所有患者均达到临床治愈。结论在肱骨外上髁炎的临床诊疗中应重视肩胛骨背面软组织及腋神经分布区压痛点阻滞。
Objective To explore the importance ot trigger point blocks maxillary nerve region and dorsal surface of scapula combined with local block in the treatment of external humeral epicon dylitis. Methods Fortysix patients with external humeral epicondylitis were divided into 3 groups, according to temporary disappearance or remission of trigger point pain after the soft tissue on the dorsal surface of scapula and axillary nerve region were pressed. Trigger point pain was disappeared temporarily in 6 patients in group A, remitted with different degrees in 35 patients in group B and not remitted in 5 patients in group C. All patients were received trigger point block in axillary nerve re gion and the dorsal surface of scapula firstly, then received local block according to the disappearance or remission of trigger point pain. Results Clinical cure was achieved in all patients after one course of the treatment. Conclusion The trigger point blocks in axillary nerve region and the dorsal surface of scapula combined with local block is important in the treatment of external humeral epicondylitis.
出处
《实用疼痛学杂志》
2012年第4期267-269,共3页
Pain Clinic Journal
关键词
网球肘
肩胛骨
臂丛
炎症
神经传导阻滞
局部阻滞
Tennis elbow
Scapula
Brachial plexus
Inflammations
Nerve block
Local block
