椎孔外颈神经卡压综合征的诊断性治疗

Diagnostic Treatment of Extra—vertebral Foramen Cervical Nerve Compression Syndrome

目的:评价对椎孔外颈神经卡压综合征进行诊断性治疗的有效性。方法:根据拟订的诊断标准,33例高度疑似的病例入选本次研究,实施2阶段的治疗方案。治疗前后分别测定视觉模拟量表VAS、疼痛治疗满意度PTSS及上肢肌力作为疗效评价指标。结果:治疗后2、4和6个月的VAS评分显著低于治疗前(P<0．05);而PTSS评分高于治疗前。局封后,所有患者上肢肌力即刻改善(单因素方差分析),并可维持近2个月。结论:该治疗方案可有效缓解椎孔外颈神经卡压综合征的症状,并可进一步明确诊断。

Objectives：To evaluate the effectiveness of diagnostic treatment of extra-vertebral foramen cervical nerve compression syndrome. Methods：33 highly suspected patients, primarily diagnosed by certain standard, were chosen in our study. On them, we perform a 2-stage therapeutic strategy. VAS visual-analogue scale and PTSS pain treatment satisfaction scale as well as muscle power of affected upper limbs were detected as index for evaluation. Results：After treatment, VAS score at 2, 4 and 6 months follow-up time point were significantly lower than former ones（P〈0.05） ; While,PTSS score were higher. All muscle power of limbs were improved immediately after block treatment （one-way ANOVA）, which can nearly last for 2 months. Conclusions：Our diagnostic treatment can not only alleviate symptoms of patients but reaffirm the diagnosis as well.