摘要
目的 :探讨肩胛上神经卡压征的诊断依据和治疗方法 ,提高对该病的诊治水平。方法 :对收治的 12例肩胛上神经卡压的临床症状、体征、影像学资料及诊疗方法进行回顾性分析。结果 :保守治疗 6例中 4例有效 ,有效率 66.67%。手术治疗 8例 ,随访 2～ 3年 ,症状完全消失 ,肌力较术前恢复至Ⅳ～Ⅴ级 ,未发现有复发者 ,但肌肉萎缩无明显改善。结论 :本征早期用保守疗法可使部分患者治愈 ,如治疗 2个月无效或出现明显肌肉萎缩者 ,应积极手术治疗。
Objective:To discuss the diagnosis and treatment of suprascapular nerve compression syndrome.Methods:The clinical symptoms,physical signs,x ray films and the treatment of suprascapular nerve compression syndrome were analyzed retrospectively on 12 cases.Results:Four of six cases were treated effectively with conservative methods and the effective rate was 66.67%.Eight cases treated with surgical methods were followed up for 2～3 years and in these cases:the syndromes disappeared completely without recurrence;muscle power increased by 2 3 levels;but the muscle atrophy had not been improved.Conclusions:Conservative treatment can be used in some of the patients who are in the early stage.Surgical treatment should be used after there are no effectiveness or obvious muscle atrophy during 2 month treatment.
出处
《中国临床解剖学杂志》
CSCD
北大核心
2002年第4期314-315,共2页
Chinese Journal of Clinical Anatomy
