摘要
目的 :研究颈肩痛伴同侧手握力减弱的病因。方法 :共 17例患者 ,首先均经非手术治疗 ,包括颈部痛点封闭及颈椎牵引 ,其中效果不明显的 5例手术治疗 ,术中切断中小斜角肌及C5、6神经根旁的前中斜角肌的肌起。结果 :全部患者均随访 2年以上 ,17例非手术治疗 ,8例症状完全消失 ,4例症状明显改善 ,5例症状改善不明显。手术 5例症状均完全消失。结论
Objective: To study the etiology of neck shoulder pain accompained with weakness of the grip strength. Methods:Detailed observation and analysis were conducted in 17 cases. First, all cases received nonoperative treatment, including local block at the neck and Glisson sling traction. 5 cases presenting poor result were treated by resection of middle and mininus scalene muscles, anterior and middle scalene muscles at the origin around C 56 nerve root was also cut intraoperatively. Results: 8 cases were excellent, 4 cases were good, 5 cases were unchanged with of 12 months of follow up, 17 cases received nonoperative treatment. Of 5 surgically treated cases revealed complete elimination of the symptoms without relapse. Conclusions: The etiology of neck shoulder pain accompanied with weakness of the grip strength lies in compression of the lower trunk of brachial plexus or C 8 nerve root by medius and minimus scalenus muscles.
出处
《中国矫形外科杂志》
CAS
CSCD
2001年第12期1169-1171,共3页
Orthopedic Journal of China
关键词
脊神经根
臂丛
胸廓出口综合征
Spinal nerve roots
Brachial plexus
Thoracic outlet syndrome
