急性臂丛神经卡压综合征的治疗：16例报告  

The treatment of acute brachial plexus compression syndrome：report of 16 cases

作　　者：李文翠[1] 王大平[1] 陆伟[1] 周可[1] 黄俊峰[1] 

机构地区：[1]南方医科大学深圳第二人民医院刨伤骨科手外科,深圳市518035

出　　处：《实用疼痛学杂志》2009年第3期191-194,共4页Pain Clinic Journal

摘　　要：目的探讨臂丛神经急性卡压综合征的临床特点及其诊治方法。方法通过临床症状与影像学诊断,采用局部注射等保守治疗及显微神经干松解手术,治疗16例各种急性臂丛神经卡压征引起颈肩上肢疼痛的病例。结果全组随访6个月,7例经保守治疗、9例经手术治疗者均缓解,VAS评分较治疗前明显降低,治疗优良率分别达85.71%（6例）及88.89%（8例）。结论急性臂丛神经卡压征在治疗上可先经短期保守治疗,效果欠佳者采用手术治疗,可取得较好疗效。Objective To discuss the clinical character and the treatment in pain of acute brachial plexus compression（ABPC）. Methods 16 cases were diagnosed as ABPC with variety of symptoms mainly caused by superior trunk and sympathetic compression. Treatments included local injection method （7 cases）, and surgical operation （9 cases）. Results 16 cases were treated and follow-up for 6 months. 7 cases treated with conservative therapy and 9 cases underwent operations had significant improvement. The excellent-good rate of the therapy was 85.71% （6 cases in conservative patients） and 88.89% （8 cases in operative patients）. Conclusions Acute brachial plexus compression can be firstly cured by conservative therapy, operation is necessary when the non-operative methods do not work well, All of the patients have got a good effect.

关 键 词：急性病 臂丛 神经卡压综合征 胸廓出口综合征 疼痛 治疗 

分 类 号：R745[医药卫生—神经病学与精神病学] R614.4[医药卫生—临床医学]