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.
出处
《微创医学》
2006年第5期361-362,共2页
Journal of Minimally Invasive Medicine
关键词
副神经切断术
胸锁乳突肌痉挛
痉挛性斜颈
Accessory neurotomy
Spasm
Stemocleidomastoid muscle
Spasmodic torticollis
