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为针刀治疗枕大神经卡压综合征提供形态学依据.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下方(2.8±0.2)cm,旁开(2.6±0.1)cm处穿斜方肌腱膜和深筋膜至皮下;②穿斜方肌腱膜和深筋膜的部位约位于枕外隆凸至乳突尖连线的中、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.因此,本文提出用针刀在枕大神经穿腱膜和筋膜点的稍内侧进针,从外上向下,与后正中线约呈40°夹角,作分离松解,
Acupuncture for the treatment of occipital nerve compression syndrome provides a morphological basis in 20 adult cadaver head and neck specimens of the great occipital nerve approach, wear trapezius aponeurosis and deep fascia and prone to compression of the site Anatomy, observation and measurement were performed.Results: (1) The occipital nerve was penetrated obliquely through the aponeurosis and deep fascia to the subcutaneous (2.6 ± 0.1) cm below the occipital protuberance (2.8 ± 0.2) cm; Tendon membrane and deep fascia of the site is located in the occipital protuberance to mastoid tip connection, the upper 1/3 junction; ③ out of a large number of tendon fibers and fascia bundles wrapped around the occipital nerve and occipital motion, Vein, is the site of compression occurred.Therefore, this paper proposed a needle knife in the great occipital nerve fascia and fascia points slightly medial needle, from the outside up and down, and the posterior midline was about 40 ° angle, For separation release,