陈德松 陈琳 薛峰 200040上海医科大学附属华山医院手外科 中华手外科杂志 1999 0 0 1


    关键词：神经压迫综合征；颈臂神经痛；臂丛；网球肘 期刊 zhswkzz 0 臂丛损伤与颈神经卡压 fur -->


    

【摘要】 目的 探讨应用颈部压痛点局部封闭治疗肘外侧顽固性疼痛的机理。方法 对14例肘外侧顽固性疼痛者检查时发现，在胸锁乳突肌后缘与颈外静脉交叉点上方有一固定压痛点。局封时从此点进入对准颈椎横突穿刺，注入0.5%布比卡因2ml加醋酸曲安舒松2ml(10g/L)，每周1次，连续3～4次。结果 术后随访4～14个月，12例疼痛解除，2例效果不佳。另有2例胸廓出口综合征的患者也合并肘外侧顽固性疼痛，行臂丛神经松解术后症状消失。结论 C_5～7 神经根卡压可能是引起肘外侧顽固性疼痛的原因之一。

Cervical nerve root compression —— one cause for intractablelateral elbow pai n CHEN D esong, CHEN Lin, XUE Feng. Department of HandSurgery,Huashan Hospital ,S hanghai Medical University,Shanghai 200040

    【Abstract】 Objective To investigate the mechanism oftreatment o f intractable lateral elbow pain by local block at the neck. Methods Local block was done in 14 cases of intractable lateral elbow pain. A combination of 2 ml of0.5 % marca ine wi th 2 ml of triamcinolone acetonide acetate (10 g/L) was injected at theintersec tion of the posterior border of sternocleidomastoid muscle and the external jugular vein in the neck which was the tenderness site,for 3 to 4 consecutive times (onc e aweek). Surgical intervention was performed in 2 patients who complicated thoracic outletsyndrome. All pati ents were followed for 4 to 14 months. Results Excellentresult was found in 12 cases, and poor resul t in 2 cases. The symptoms disappeared afterneurolysis of brachial plexus in 2 patients of intractable lateral elbow pain combinedwith thoracic outlet syndro me. Conclusions C_5,6,7 nerveroots compression may be one of the causes for intractable lateral elbow pain.

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