小针刀定点松解法治疗上干型胸廓出口综合征

目的：观察小针刀定点松解治疗上干型胸廓出口综合征的疗效及探讨其作用机制。方法：共治疗32例上千型胸廓出口综合征患者，其中女22例，男10例；年龄25-55岁。病程1个月～3年，均为单侧发病。采用小针刀对C。关节突关节及冈下窝痛性条索定点快速松解，每周1次，治疗1-4次。结果：所有患者术后即刻都有不同程度的颈肩部主观症状缓解，26例术前有肌力下降的患者中术后即刻测试有20例肌力明显增加；18例术前有皮肤痛触觉减弱的患者中术后即刻测试痛触觉有8例感觉明显改善。随访1年，根据Wood评价标准，优19例，良7例，可3例，差3例，其中1例转为手术治疗，无并发症发生。结论：小针刀定点松解法治疗上干型胸廓出口综合征操作安全简便，疗效确切，并同时具有肌松和镇痛作用。

Fixed-point release with small needle knife for the treatment of upper plexus thoracic outlet syndrome

Objective: To study therapeutic effects and mechanisms of fixed-point release with small needle knife for the treatment of upper plexus thoracic outlet syndrome. Methods: Among 32 patients,22 patients were female,and 10 patients were male,ranging in age from 25 to 55 years. The disease course ranged from one month to 3 years. All the patients were unilateral thoracic outlet syndrome. The painful trabs at the facet joints of C^5,6 and infraspinatus muscle were fixed-point released one to four times every week. Results: All the patients relieved pain immediately after treatment. Among 26 patients with decreased muscle strength before operation,20 patients got muscle strength improved after treatment immediately. Among 18 patients with touch and pain sensation compromised,8 patients got the sensation improved after operation. All the patients were followed up for 1 year. According to Wood evaluation criterion,19 patients got an excellent result,7 good,3 poor,and 3 bad. One patient was transferred to operation. There were no complications. Conclusion: Fixed-point release with small needle knife for the treatment of upper plexus thoracic outlet syndrome is safe and curative.