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Wysłany: Nie 1:09, 27 Lut 2011
Temat postu: Knife surgery for shoulder and back pain strain of
Knife surgery for shoulder and back pain strain of 41 cases
Continued work 1/2h above. Denied history of trauma. Have a major hospital out-patient treatment of 2 courses of acupuncture and massage, the effect is not ideal. Examination: right upper corner of the inside shoulder and the upper inner edge of shoulder tenderness significantly, reaching a diameter of 2 5. - ~ 8mm sliding of painful nodules I left upper corner of the medial scapular tenderness significantly, reaching a diameter of about 10mm oval painful nodules in the first 6,
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,7 I touch bilateral cervical spinous process to mention shoulder showed cord-like muscle tension and tenderness I pull arm bilateral shoulder pain caused by neck rotation test. Diagnosis of refractory bilateral levator scapulae and rhomboid muscle strain of the shoulder and back pain. Knife set with the aforementioned surgical treatment of the disease affected area in the bilateral scapular and scapular corner and adjacent medial part of the inner edge of the muscle tissue, etc. knife surgery dissection were performed 1 lysis, intraoperative awareness in patients acupuncture strong sense of Dayton have been easy,
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, natural emissions of surgery knife bleeding mouth about 2.5ml. 1 week,
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, the Ministry of bilateral sore shoulder gradually disappears, becoming the normal activities of the Department shoulder, in front of the computer operator has been able to last more than 2h. Were followed up for nearly 3 months without recurrence. 4 Discussion of 4.1 surgical procedures: The body of the shoulders and back by the research group of the Ministry of adult specimens were dissected and observed the local structure of the design developed after surgery were a more reasonable way to operate, the advantages are: ① to feed parts of the skin anesthesia, can be Avoid feeding due to pain and tension when the patient, fear and even the occurrence of accidents such as halo knife, deep soft tissue lesions and ensure the existence of acupuncture. ② The results of anatomical observations, respectively, levator scapulae and the rhomboid muscle in the shoulder blade attachment points on the structure of the Department, especially the Ministry of attachment of small cystic nodules in synovial fluid of the body surface corresponding calibration of disease in the knife JIlI inflammatory adhesions in the synovial fluid after stripping release capsule to achieve a more sufficient discharge chromatin purpose of trigger points. ③ stressed surgery patients into the needle-knife operation was required to obtain the exact air strong sense of a small number of operations can often achieve good results and efficacy. Otherwise, surgery can be more than 2 times effective, this point shows a good knife therapy and acupuncture JIl | therapy in common. Natural emissions of surgery bleeding edge any way, and the Chinese healing art of healing Traumatology bleeding is similar to the Miao. 4.2 Efficacy Analysis: Anatomic basis of the results, according to nerves, blood vessels to operate needle position and to avoid unnecessary surgical injury to the research group of surgical design. Therefore,
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, it is a good effect,
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, and relatively safe for clinical knife, needle shed treatment information.
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