颈背根节卡压与顽固性肘外侧疼痛的临床研究  

Clinical study of cervical dorsal root ganglia entrapment and intractable lateral elbow pain

作　　者：王希[1] 袁君君[1] 白瑞珍[2] 

机构地区：[1]湖北省中医药研究院骨伤科研究所,湖北武汉430074 [2]武汉大学医学院

出　　处：《中国骨伤》2002年第6期324-326,共3页China Journal of Orthopaedics and Traumatology

摘　　要：目的　研究颈神经背根节卡压所致顽固性肘外侧疼痛的病理特点和诊治方法。方法　采用YabuKi对颈神经背根节的研究方法 ,同时对 7具成人防腐标本颈背根节的位置和毗邻关系进行了观察。结合临床对 35例顽固性肘外侧疼痛 ,因神经在颈部或同时存在肘部的卡压 ,所表现的不同体征 ,分为单卡型和双卡型。分别采取背根内侧支阻滞配合手法以及肘部痛点封闭治疗。结果　单卡型组平均治疗 3次 ,双卡型组平均治疗 5次。平均随访 9个月 ,术后疗效优良率分别为 87 5 %和 79 0 % ,总优良率为 83 8%。结论　颈神经背根节卡压可能是顽固性肘外侧疼痛又一重要发病因素。神经阻滞配合手法治疗 ,对该类型顽固性肘外侧疼痛 ,具有较好的治疗效果。Objective To study the pathological characteristics,diagnosis and treatment of intractable lateral elbow pain caused by dorsal root ganglia entrapment in the cervical region Methods The method of dorsal root ganglia compression in the cervical region used by YabuKi S.and Kikuchi S.was adopted.Meanwhile,the positions of dorsal root ganglia in the cervical region and neighboring relations were observed in 7 adult cadaver specimens.In practice,according to their different clinical manifestations that the compression exists in the cervical region or as well as in the elbow;35 cases of intractable lateral elbow pain were divided into two groups:the one spot compression type and the two spot compression type.They were treated by medial branch block plus manipulation,as well as blocking the sore spot in the elbow.Results The patients in the group of one spot compression type averagely received the treatment 3 times while those in the group of two spot compression type 5 times.For an average of nine months following investigation,the good rate of therapeutic effect is 87 5%,79 0% respectively.The generally the rate is 83 3% Conclusion Dorsal root ganglia compression in the cervical region may be another important cause for intractable lateral elbow pain.Nerve root block plus manipulation can effectively cure intractable lateral elbow pain.

关 键 词：神经卡压综合征 肘关节 正骨手法 

分 类 号：R745[医药卫生—神经病学与精神病学]