椎管外颈神经阻滞加手法治疗颈神经后支卡压综合症

TREATMENT OF COMPRESSION SYNDROME OF CERVICAL POSTERIOR BRANCH BY CERVICAL NERVE BLOCK OUTSIDE VERTEBRAL CANAL AND MANIPULATION

为探讨评价颈神经后支卡压综合症的诊治方法 ,根据 Yabuki S等对颈神经解剖学的研究 ,结合临床回顾性地分析了 89例颈神经后支卡压综合症患者椎管外颈神经阻滞及手法治疗的效果。经平均 6个月随访 ,结果 47例单纯行颈神经阻滞术者 ,治愈 38例 ,占 80 .1% ;42例配合手法治疗者 ,全部治愈 ,占 10 0 %。组间比较 (P<0 .0 5 ) ,两组治愈率有明显差异。提示对病因不明及无明显神经体征的头、颈肩痛患者 ,应诊断为颈神经后支卡压综合症 ,与颈神经后支在关节突出部位的卡压有关。椎管外颈神经阻滞配合手法治疗 ,是一种针对性强、有效的治疗方法。

To explore the diagnostic and therapeutic methods of compression syndrome of cervical posterior branch, according to Yabukis'research about anatomy of cervical nerve,analyze retrospectively the therapeutic effect of compression syndrome of cervical posterior branch( 89cases) with cervical nerve block outside vertebral canal and manipulation.The average follow- up time was half a year.38out of 4 7patients were cured with cervical nerve block and the curative rate was 80 % ,but other 4 2 patients were all cured with cervical nerve block outside vertebral canal and manipulation,the curative rate was 10 0 % . There was a significant difference( P<0 .0 5) in two groups.For head- neck- shoulder pain patients without clear cause and obvious nervous signs,they should be diagnosed as compression syndrome of cervical posterior branch,which related to being compressed of cervical posterior branch at the articular process.It was suggested that cervical nerve block outside vertebral canal with manipulation was a pointed and effective therapeutic method.