肩胛舌骨肌综合征34例临床分析  

Clinical analysis of omohyoid muscle syndrome in 34 cases

作　　者：杨维良[1] 管震[2] 张好刚[1] 张新晨[1] 

机构地区：[1]哈尔滨医科大学附属第二医院普外科,150086 [2]哈尔滨医科大学解剖学教研室

出　　处：《中华普通外科杂志》2012年第1期31-33,共3页Chinese Journal of General Surgery

摘　　要：目的 总结肩胛舌骨肌综合征（OMS）的发病原因及诊治经验.方法 回顾性分析1980-2008年收治的34例OMS患者的临床资料及19例肩胛舌骨肌尸体解剖所见,观察了该肌各部长宽厚度、中间腱及腱鞘的形态.结果 OMS的临床特征是吞咽时颈部隆起肿块,同时伴有吞咽不适或困难.吞咽动作完毕,肿块立即消失.并提示中间腱鞘对该肌收缩时起限制、调节作用.若系先天性筋膜发育薄弱,慢性劳损或撕裂导致中间腱鞘松弛,肌肉萎缩、变性、缩短,可形成OMS.本组34例均采用手术治疗,手术原则：游离一段并钳夹、切除肩胛舌骨肌与胸锁乳突肌交叉部分,并切断肌肉筋膜间粘连.34例均治愈.结论 根据临床特征,基本可确诊OMS；手术治疗可达到良好效果.Objective To explore the etiology,diagnosis and treatment of omohyoid muscle syndrome（OMS）.Method Clinical data of 34 OMS cases was analyzed retrospectively from 1980 to 2008.In the autopsy of 19 bodies we studied omohyoid muscle,especially the intermediate tendons,sheaths of tendon and projection of omohyoid muscles.Result The symptom of omohyoid muscle syndrome lies in a mass that can be seen on the neek while swallowing,and the patient feels discomfort and dysphagia.The mass disappears immediately after swallowing and cann＇t be found by palpation.Congenital fascia weakness,intermediate tendon sheath relaxation,atrophy,degeneration and contracture of omohuoid muscle causes OMS.OMS was diagnosed on clinical manifestation.All 34 patients were treated surgically including cutting off the cross part of omohyoid muscle and sternocleidomastoid muscle,separating adhesion of muscle and fascia.Postoperatively symptoms disappeared in all these 34 patients.Conclusions Omohyoid muscle syndrome is a disease that can be easily diagnosed basing on characteristic clinical symptom and sign,the prognosis is good if treated properly by an operation.

关 键 词：肌萎缩 综合征 吞咽障碍 

分 类 号：R653[医药卫生—外科学]