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目的 :为针刀治疗枕大神经卡压综合征提供形态学依据。方法 :在 2 0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。结论 :用针刀在枕大神经穿腱膜和筋膜点的稍内侧进针 ,从外上向内下 ,与后正中线约呈 40°夹角 ,作分离松解 ,便可解除其卡压。
Objective: To provide morphological evidence for acupotome treatment of occipital nerve compression syndrome. Methods: 20 adult adult head and neck specimens were dissected, observed and measured on the occipital nerve, trapezius fascia, deep fascia and prone to compression. Results: (1) The greater part of the occipital nerve was subcutaneously below the occipital protuberance (28 ± 0 2) cm and the paravertebral fascia and deep fascia were subcutaneously (26 ± 0 1) cm. (2) Trapezius aponeurosis and deep fascia of the site is located in the occipital protuberance to the mastoid tip of the connection, 1/3 on the junction; (3) out of a large number of tendon fibers and fascia bundles around the occipital nerve And occipital artery and vein, is the site of the occurrence of compression. Conclusion: Needle knife in the greater occipital nerve fascia and fascia through the medial needle, from the inside to the inside, with the posterior midline about 40 ° angle, for release release, you can lift the card Pressure