手术治疗腰臀部肌筋膜综合征——痛性筋结或筋束切除术

30例腰臀部肌筋膜综合征经非手术治疗无效,采用了痛性筋结(束)切除术,98%病例获得优良结果。手术时发现局部为纤维性结节(条束),与肌纤维或筋膜粘连,无神经粘连。显微镜观察完全是纤维脂肪组织。16例小血管壁增厚,其中仅15例有炎性细胞浸润。为避免找不到激痛点,手术在1%普鲁卡因皮内浸润麻醉下施行,找到激痛点筋结(束)后,切除之。这是一种简易而有效的治疗方法,可在门诊施行。

SURGICAL RESECTION OF PAINFUL FIBROUS NODE OR TRACT NO MYOFACIAL SYNDROME IN LUMBOGLUTEAL REGION

Thirty cases of myofaseial syndrome on lumbogluteal region are treated by conservative method without effect,but cured by surgical resection of the painful fibrous node or tract.During operation,it is found that there were fibrous node or tract with adhesion to the fascia or muscle fibers,but it is not nerve and no adhesion with the peripheral nerve.Microscopically all are fibrofatty tissue.16 cases show thickening of the wall of small vessels and 15 cases have inflammatory cell infiltration.Operation was performed under intradermal infiltration by 1%procaine in order to avoid missing of the trigger point.The node or tract including the trigger point was resected after identification.This is a simple and effetive method for treatment of myofascial syndrome and may be performed in O.P.D.