四边孔综合征的诊疗进展

Research progress of quadrilateral space syndrome

四边孔综合征(QSS)主要临床症状有四边孔区域明显压痛,患侧肩背部疼痛,感觉异常,肩关节外展外旋时肌力下降,疼痛加重,被动活动正常。本病通过中医、物理治疗、局部闭合和功能锻炼等保守治疗方法可取得良好的疗效,保守治疗不理想者或出现肌肉萎缩、肌电图明显改变者、旋肱后动脉闭塞者应当可采取手术治疗。本文综合了国内外对四边孔综合征的病因、诊断、治疗等方面的研究情况,详细分析并总结,旨在为临床诊疗本病提供指导思路。

The main clinical symptoms of quadrilateral space syndrome(QSS)include obvious tenderness in the quadrilateral space,shoulder pain on the affected side,paresthesia,decreased muscle strength during shoulder abduction and rotation,increased pain,and normal passive activity.QSS can be well treated by conservative treatment methods like the traditional Chinese medicine,physical therapy,local closure and functional exercise.Surgery is recommended to QSS patients who are poorly responsive to conservative treatment,or those with muscle atrophy,obvious changes in electromyography(EMG),and posterior brachial artery occlusion.This review thoroughly analyzes and summarizes the etiology,diagnosis and treatment of QSS,thus providing guidance for clinical diagnosis and treatment.