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射频松解治疗顽固性膈肌痉挛的临床观察

Treatment of intractable diaphragmatic muscle spasm with radiofrequency relaxation
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摘要 目的探索射频松解前、中斜角肌治疗顽固性膈肌痉挛的临床疗效。方法选择15例患者,术前按龙氏正骨手法整复错位小关节,术时在X线透视定位下射频松解C3、C4、C5患侧横突前、后结节上的前、中斜角肌起点,调节热凝温度为80℃,时间60 s。结果13例患者术后1周内膈肌痉挛缓解,2例第2次射频松解后缓解,总有效率100%。结论射频松解前、中斜角肌治疗顽固性膈肌痉挛效果显著。 Objective To explore the clinical effect of relaxing the anterior scalene muscle and the middle scalene muscle with radiofrequency in treating intractable diaphragmatic muscle spasm. Method Fifteen patients were selected. Before operation,the disturbed facets were adjusted and restored using Long bone restoration method. During operation, relax the anterior scalene muscle and the middle scalene muscle from the transverse process tubercle of C3 ,C4 and C5 with radiofrequency under the guidance of X-ray. The temperature was 80℃ for 60 seconds. Results The symptom of thirteen patients were significantly relieved within a week ,and two patients were significantly relieved after second radiofrequency relaxation a week later. The whole effective rate was 100%. Conclusion Using radiofrequency to relax the anterior scalene muscle and the middle scalene muscle to treat intractable diaphragmatic muscle spasm is a good, effective method.
出处 《实用疼痛学杂志》 2007年第3期181-182,共2页 Pain Clinic Journal
关键词 射频松解 前斜角肌 中斜角肌 肌痉挛 Radiofrequency Relaxation Scalenus Anterior Scalene Medius Diaphragm Muscle Spasm
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