后斜角肌

Of these, 12 underwent cervical medistinoscopy combined with right scalene lymph node biopsy and 10 with anterior para-mediastinal small incision.

结果纵隔镜检查后发现9例为不可手术患者，其中3例为右斜角肌淋巴结转移（N3），6例为病灶对侧纵隔淋巴结转移（N3）。

The transverse cervical artery which crosses the anterior scalene muscle covers the part of the tumor and lies superficially.

而臂丛神经鞘瘤位于颈动脉分叉水平以下，紧贴前斜角肌后或后外方，颈横动脉横跨前斜角肌表面向肿瘤未被肌肉覆盖部分的浅面走行。

Methods: Symptomless group consist of 100 adults without cervicobrachialgia history, male female equalization. Scan by CT, measuring cross section and CT value of scalene anterior muscle, as normal contrast; 32 final diagnosis cases in treat group, by means of same method, statistics and comparison, analysis. Adopt maneuver to therapy. Analysis was done after one course followed by short-term and long-term.

无症状组选取不同年龄组无颈臂痛病史者100人，男女各半；CT平扫其C6上缘-C7上缘，测量前斜角肌横断面面积及CT值，统计后作为正常值参照；治疗组取确诊的无并发骨性改变及椎管内病变的前斜角肌综合征患者32人，CT平扫其同一平面，测量其患侧前斜角肌横断面面积及CT值，进行对比分析；采用手法进行治疗；1疗程后按近、远期进行随访，分析疗效。

We also observed and measured the distance and section of some muscles such as long muscle of neck、long muscle of head、sternocleidomastoid、trapezius、longissimus、inultifidus、splenius、semispinal muscle of head、semispinal muscle of neck、anterior scalene、middle scalene 、posterior scalene et al. We achieved the moment of force and downloaded the force in the model .We also added gravity of head.

通过横截面积肌力计算法，测量尸体颈椎周围的主要肌肉：胸锁乳突肌、斜方肌、头长肌、颈长肌、肩胛提肌、夹肌、前斜角肌、中斜角肌、后斜角肌、多裂肌等的横截面积及其与颈椎纵轴的中心距数值，求得力矩值，直接或根据力矩等价公式间接的将肌力值加载于模型体表各点。

Results:1 CT demonstrated clear boundary and homogenous density in symptomless, near oval and symmetry. Normal cross section areas of scalene anterior muscle is 1.3793±0.0948cm2, normal CT value is 54.594±2.0106; 2 Cross section form of patient anterior scalene muscle is irregulation, adherence to tissue around, boundary not pure. Statistics display this area and CT value has obvious significant difference in symptomless group and patient group(P.01); 3 After one course, it shows 87.5%/100% of success rate and valid rate respectively in the short-term, as well as 71.8%/93.75% in the long-term.

结果：1 无症状者前斜角肌横断面形态双侧对称，成近椭圆形，轮廓清晰，与周围组织界限清楚，两侧横断面面积及CT值相近，C6上缘-C7上缘水平正常前斜角肌横断面面积为：1.3793±0.0948cm2 ，CT值为：54.594±2.0106；2 前斜角肌综合征患者患侧前斜角肌横断面形态不规则，与周围组织粘连，界限不清，统计显示患侧横断面面积较正常值增大，P＜0.01，差异非常显著，CT值较正常值增大，P＜0.01，差异非常显著；3 手法治疗1疗程后，随访显示近期优良率87.5%，有效率100%，远期优良率71.8%，有效率93.75%。

Results:1 CT demonstrated clear boundary and homogenous density in symptomless, near oval and symmetry. Normal cross section areas of scalene anterior muscle is 1.3793 0.0948cm2, normal CT value is 54.594 2.0106; 2 Cross section form of patient anterior scalene muscle is irregulation, adherence to tissue around, boundary not pure. Statistics display this area and CT value has obvioussignificant difference in symptomless group and patient group(P.01); 3 After one course, it shows 87.5%/100% of success rate and valid rate respectively in the short-term, as well as 71.8%/93.75% in the long-term.

结果：1无症状者前斜角肌横断面形态双侧对称，成近椭圆形，轮廓清晰，与周围组织界限清楚，两侧横断面面积及CT值相近，C_6上缘-C_7上缘水平正常前斜角肌横断面面积为：1.3793±0.0948cm~2，CT值为：54.594±2.0106；2前斜角肌综合征患者患侧前斜角肌横断面形态不规则，与周围组织粘连，界限不清，统计显示患侧横断面面积较正常值增大，P＜0.01，差异非常显著，CT值较正常值增大，P＜0.01，差异非常显著；3手法治疗1疗程后，随访显示近期优良率87.5％，有效率100％，远期优良率71.8％，有效率93.75％。

Methods There were 12 cases, 10 of them were corpse specimens, the other 2 were clinic cases. Firstly we dissociate the contralateral C7 root from the intervertebral foramen to its divisions, secondly we set up a tunnel between the cone and the anterior scalenus, thirdly we moved the C7 root to the gap between the thyroid and the opposite carotid theca through the mentioned tunnel, then we dissociate the injured brachial plexus extensively, lastly we anastomose the contralateral C7 and the injured inferior trunk.

尸解10例，临床应用2例，将健侧颈7神经近端游离至神经根孔，远端游离至前后股处，于前斜角肌后椎体前建立通道，将健侧颈7神经引导至患侧颈血管鞘和甲状腺间隙处，然后患侧行下干、内侧束、尺神经、及正中神经内侧头广泛游离，患侧屈肘屈肩关节后，将健侧颈7神经直接与患侧下干无张力下吻合。

I didn't watch TV last night, because it .

昨晚我没有看电视，因为电视机坏了。

Since this year, in a lot of villages of Beijing, TV of elevator liquid crystal was removed.

今年以来，在北京的很多小区里，电梯液晶电视被撤了下来。