针刀疗法治疗胸廓出口综合征9例报告  

Treatment for thoracic outlet syndrome with small needle knife： 9 cases report

作　　者：张井浪[1] 李昌熙[1] 成信之[1] 吴海生[1] 李诚[1] 

机构地区：[1]江苏省苏北人民医院疼痛科,扬州市225001

出　　处：《实用疼痛学杂志》2012年第6期433-435,共3页Pain Clinic Journal

摘　　要：目的评价针刀治疗胸廓出口综合征的效果。方法胸廓出口综合征患者9例，采用汉章牌针刀松解，分别于颈部前、中斜角肌间隙锁骨上3～3．5cm处、前斜角肌锁骨止点及同侧喙突顶点内1／3进针进行疏通剥离。结果所有患者均未见意外，术后第2日患者的疼痛、麻木和上肢感觉不适明显好转。半年后随访，7例患者症状基本消失，1例好转，1例无效。结论针刀治疗胸廓出口综合征效果可靠。Objective To explore the therapeutic effects of small needle knife for the treatment of thoracic outlet syndrome. Methods Nine patients with thoracic outlet syndrome were treated with small needle knife. The knife was used to cut and strip the scar above the clavicle in the space of ante- rior and middle scalene muscles, at the insertion of anterior scalene muscle and 1/3 inside of the cli- max of eoracoid process. Results No unexpected incidents were found during the treatment. The pain, numb symptoms and abnormal sensation in the upper arm were improved significantly at the second day after the treatment. After 6 months follow-up, the clinical symptom disappeared and mus- cle strength and sensation recovered to normal in 7 patients, improved in 1 patient, and ineffective in 1 patient. Conclusion Small needle knife is a reliable method for the treatment of thoracic outlet syn- drome.

关 键 词：胸廓出口综合征 小针刀 中医学 

分 类 号：R655[医药卫生—外科学]