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目的 力针刀治疗枕大神经卡压综合征提供形态学依据.方法在20侧成人尸体头颈标本上,对枕大神经的行径、穿斜方肌腱膜和深筋膜以及易发生卡压的部位进行了解剖、观察和测量.结果①枕大神经在枕外隆凸的下方2.8cm±0.2cm,旁开2.6cm±0.1cm处穿斜方肌健膜和深筋膜至皮下;③穿斜方肌腱膜和深筋膜的部位约位于枕外隆凸到乳突尖连线中、上1/3交界点;③穿出点有大量腱纤维和筋膜束缠绕枕大神经及枕动静脉,是发生卡压的部位.结论 用针刀在枕神经穿腱膜和筋膜点的稍内侧进针,从外上向内下作分离松解,便可解除其卡压.
Objective To study the therapeutic effect of acupotome in the treatment of occipital nerve compression syndrome.Methods 20 adult adult head and neck specimens were examined for the behavior of the occipital nerve and the transposition of the aponeurosis and deep fascia, The anatomy, observation and measurement were performed.Results ① The great occipital nerve was 2.8cm ± 0.2cm below the occipital protuberance and 2.6cm ± 0.1cm beside the trabeculectomy and deep fascia; The fascia and fascia of the fascia and the deep fascia are located approximately at the junction of the occipital protuberance and the mastoid tip at the junction of the upper and third of the vertebrae. Thirdly, there are a large number of tendon fibers and fascia bundles around the occipital nerve and the occipital artery , Which is the place where the compression occurred.Conclusion Using a needle knife to insert the needle slightly inside the aponeurosis and fascia, the needle is released from the inside to the inside for release and release, so as to release the compression.