副神经切断术在解除胸锁乳突肌痉挛中的应用  

Application of accessory neurotomy in the treatment of the spasm of sternocleidomastoid muscle.

作　　者：王雷[1] 姬绍先[1] 马安保[1] 周国俊[1] 梁健[1] 

机构地区：[1]湖北省武汉市中心医院神经外科,武汉430014

出　　处：《微创医学》2006年第5期361-362,共2页Journal of Minimally Invasive Medicine

摘　　要：目的探讨副神经切断术在解除胸锁乳突肌痉挛中的应用。方法经颈前入路，在颈动脉鞘和胸锁乳突肌间隙分离出副神经，以神经刺激器证实后，在合适的部位切断1．5—2cm。结果术后6个月评定疗效。全组切断副神经195例共215支。胸锁乳突肌痉挛消失189例（96．9％），无效6例（3．1％），无死亡，无残疾并发症。结论颈前入路副神经切断术治疗同侧胸锁乳突肌痉挛疗效肯定，手术创伤小，操作简便，无并发症。Objective To study the application of accessory neurotomy in the treatment of the spasm of stemocleidomastoid muscle. Methods The accessory was freed from the internal-upper interspace of sternocleidomastoid muscle by the approach of anterior cervical and was resected in 1.5-2cm length after being testified by nerve stimulator. Results The evaluation of clinical effects 6 months after operation： total 195 cases, 189 were recovered（96. 9% ）, 6 were inefficiency（3.1% ）. There was no death and no complication of disability. Conclusion The accessory neurotomy by the approach of anterior cervical is safe and effective to treat the spasm of sternocleidomastoid muscle.

关 键 词：副神经切断术 胸锁乳突肌痉挛 痉挛性斜颈 

分 类 号：R651[医药卫生—外科学]