星状神经节阻滞治疗痉挛性斜颈

THE TREATMENT OF SPASMODIC TORTICOLLIS WITH STELLATE GANGLION BLOCK

摘要:

目的：观察星状神经节阻滞（ＳＧＢ）治疗痉挛性斜颈（ＳＴ）病人的临床效果。资料及方法：３例病程４个月～２年的ＳＴ患者，１例为头颈部持续向右旋转，２例为了阵挛性转头动作。其中２例经多得药物治疗或针灸治疗未能控制。用２％利多卡因（５ｍｌ／次）行ＳＧＢ治疗，每日１次连续２周，然后隔日１次连续２周；最后，１周２次连续２周。用Ｔｓｕｉ评分价疗效。结果：３例病人经ＳＧＢ治疗后症状逐渐好转，两周后症状明显改善，１

Abstract:

Objective: To observe the effect of treatment with stellate ganglion block (SGB) in the patient with spasmodic torticollis. Materials and Methods: Three patients after the onset of spsmodic torticollis from 4 months to 2 years. One patient showed rotating to right side of the head and neck continuously, and two showed tremors of the head frequently. Two of the patients had underwent medical or acupuncture treatment without any improvement. All the patients received SGB for the treatment of spasmodic torticollis with 2% lidocain 5 ml each time. At the begining, the drug was given once a day for 2 weeks, in the following 2 weeks the drug was administered once every other day, and twice a week for the last 2 weeks. The Tsui's score was used for evaluating the therapeutic effect. Results: in all 3 cases the symptoms were markedly improved 2 weeks after the treatment. The signs were almost disappeared 1 month later. The recurrence had not been found after 1, 5 and 7 months follow up respectively. Conclusion: The method of SGB has brought a new approach to the treatment of ST in cases when pharmacological and surgical treatment were not effective. This is probably the more secure and effective method for ST.