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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 radiofrequency ablation before and after midtricle muscle treatment of intractable diaphragmatic spasm. Methods Fifteen patients were selected. The dislocated facet joints were treated with Long’s osteosarcoma before surgery. Radiofrequency ablation of the anterior and posterior nodules of C3, C4 and C5 under the X-ray was performed. The onset of the angle muscle, the regulation of the thermal coagulation temperature is 80 ℃, the time 60s. Results Thirteen patients were relieved of phrenic spasm within one week after operation, and two patients were relieved after the second radiofrequency ablation. The total effective rate was 100%. Conclusion Before radiofrequency ablation, mid-scalene muscle treatment of refractory diaphragmatic spasm significant effect.