| 小针刀治疗上干型胸廓出口综合征 |
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投稿时间：2005-06-03
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| 作者 | Author | 单位 | Address | E-Mail |
| 林浩东 |
LIN Hao-dong |
复旦大学上海医学院附属华山医院手外科,上海200040 |
Department of Hand Surgery,the Affiliate Huashan Hospital of Shanghai Medical College,Fudan University,Shanghai 200040,China |
haodonglin@hot mail.com |
| 陈德松 |
CHEN De-song |
复旦大学上海医学院附属华山医院手外科,上海200040 |
Department of Hand Surgery,the Affiliate Huashan Hospital of Shanghai Medical College,Fudan University,Shanghai 200040,China |
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| 方有生 |
FANG You-sheng |
复旦大学上海医学院附属华山医院手外科,上海200040 |
Department of Hand Surgery,the Affiliate Huashan Hospital of Shanghai Medical College,Fudan University,Shanghai 200040,China |
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| 期刊信息：《中国骨伤》2006年，第19卷，第3期，第129-130页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目:上海市领先学科基金资助项目(编号:99-37) |
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中文摘要:
目的:探讨小针刀治疗上干型胸廓出口综合征的效果。
方法:1998年1月-2002年1月共收治上干型胸廓出口综合征11例,男5例,女6例;平均年龄36.2岁(25~46岁),病程2个月~3年,均采用小针刀治疗,在颈部压痛最明显的颈椎横突后结节上用小针刀对前、中斜角肌的腱性起始纤维作切割和剥离。
结果:所有患者均无血肿形成,术后10 min 10例的症状、肌力和感觉明显好转。6个月后随访6例症状消失,肌力、感觉恢复正常,2例有好转,2例无效。4年后仍有7例有效。
结论:小针刀治疗上干型胸廓出口综合征创伤小,操作简单,效果可靠。 |
| 【关键词】胸廓出口综合征 中医学 小针刀 |
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| Treatment of thoracic outlet syndrome of upper plexus type with small needle knife |
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ABSTRACT
Objective:To study therapeutic effects of small needle knife for the treatment of thoracic outlet syndrome of upper plexus type.
Methods:From January 1998 to January 2002,11 patients(male 5 and female 6 with age from 25 to 46 years,averagely 36.2) were treated with small needle knife.The knife was used to cut and strip origin tendon-like fiber of anterior and middle scalene muscle at the point of posterior tubercle of transverse process of cervical vertebra,in which the compress pain was marked.
Results:No hematoma was found in all patients after treatment.The clinical symptom,muscle strength and sensation improved significantly at 10th minute after operation.After 6 months follow-up,the clinical symptom disappeared and muscle strength and sensation recovered to normal in 6 patients,improved in 2 patients,and had no changes in 2 patients.At 4th year after treatment,7 patients still had good effect.
Conclusion:Small needle knife for the treatment of thoracic outlet syndrome of upper plexus type has such advantages as mini-wound,simple operative procedure,and reliable effect. |
| KEY WORDS Thoracic outlet syndrome Medicine,Chinese traditional Small needle knife |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 林浩东,陈德松,方有生.小针刀治疗上干型胸廓出口综合征[J].中国骨伤,2006,19(3):129~130 |
| 英文格式: | LIN Hao-dong,CHEN De-song,FANG You-sheng.Treatment of thoracic outlet syndrome of upper plexus type with small needle knife[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(3):129~130 |
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