颈背根节卡压与顽固性肘外侧疼痛的临床研究

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。结果临床对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％，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。

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

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.