斜角肌

So this syndrome is often misdiagnosed by cervical syndrome and cervical spinal stenosis other diseases, resulted in delaying to therapy. Thus it is necessary to study changes of scalene anterior muscle in sclenus anticus syndrome by image, establish changes and create objective diagnosis criterion on image of this syndrome.

由此可见应用影像学对前斜角肌在前斜角肌综合征中的变化进行研究，确立其在影像学上的改变是有必要的，而且通过对患者的测定，建立该征临床客观诊断标准，将有助于该征的正确诊治。

Past experiences with scalenotomy have shown that postoperatively the muscle can scar down to the nerve roots or, in some patients in whom we had reoperated, the anterior scalene can completely reconstruct itself.

以前对斜角肌切除的经验是术后瘢痕可侵及神经根或出现在一些翻修术的病人中，前斜角肌可自行完全修复。

Objective: 1 Measured and statisticsed areas of cross section and CT value of scalene anterior muscle on plan from superior border of C6 to C7, as a objective basement of this topic and other correspond research; 2 Compared and analysed changes between normal and patient, established diagnosis criterion on image and explored new research methods of soft tissues by image; 3 Confirmed maneuver and functional exercise are utility methods.

目的：1测定C_6上缘-C_7上缘水平前斜角肌模断面面积及CT值的正常值，作为本课题及相关研究的客观依据；2比较分析前斜角肌综合征患者与无症状者前斜角肌变化，确立该征的影像学诊断标准，初步探索软组织影像学的研究方法；3进一步确定手法配合功能锻炼是治疗该征的有效疗法。

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。

Over the distribution of the neck muscles and dense, mainly the superficial platysma, sternocleidomastoid, suprahyoid muscles and deep down in the first before the rectus muscle, cephalic rectus, head long muscle, three scalene muscle, etc..

颈部肌肉分布多而密，主要有浅层的颈阔肌、胸锁乳突肌、舌骨上下肌群和深层的头前直肌、头侧直肌、头长肌、三斜角肌等。

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%。

Background: Sclenus anticus syndrome is a disease caused by scalene anterior muscle edema, proliferation and spasm, lifted the first rib, resulted in scalenus muscle interspaces constriction, crushed the brachial plexus and subclavicalar A.V.

背景：前斜角肌综合征是指各种原因引起前斜角肌水肿、增生，痉挛并上提第一肋，导致斜角肌间隙狭窄，卡压穿行其间的臂丛神经及锁骨下动静脉而引起相应临床症状的疾患。

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％。

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。