CAJ | 학술논문

目的总结肩胛舌骨肌综合征(OMS)的发病原因及诊治经验.方法回顾性分析1980-2008年收治的34例OMS患者的临床资料及19例肩胛舌骨肌尸体解剖所见,观察了该肌各部长宽厚度、中间腱及腱鞘的形态.结果 OMS的临床特征是吞咽时颈部隆起肿块,同时伴有吞咽不适或困难.吞咽动作完毕,肿块立即消失.并提示中间腱鞘对该肌收缩时起限制、调节作用.若系先天性筋膜发育薄弱,慢性劳损或撕裂导致中间腱鞘松弛,肌肉萎缩、变性、缩短,可形成OMS.本组34例均采用手术治疗,手术原则:游离一段并钳夹、切除肩胛舌骨肌与胸锁乳突肌交叉部分,并切断肌肉筋膜间粘连.34例均治愈.结论根据临床特征,基本可确诊OMS；手术治疗可达到良好效果.
목적 총결견갑설골기종합정(OMS)적발병원인급진치경험.방법 회고성분석1980-2008년수치적34례OMS환자적림상자료급19례견갑설골기시체해부소견,관찰료해기각부장관후도、중간건급건초적형태.결과 OMS적림상특정시탄인시경부륭기종괴,동시반유탄인불괄혹곤난.탄인동작완필,종괴립즉소실.병제시중간건초대해기수축시기한제、조절작용.약계선천성근막발육박약,만성로손혹시렬도치중간건초송이,기육위축、변성、축단,가형성OMS.본조34례균채용수술치료,수술원칙:유리일단병겸협、절제견갑설골기여흉쇄유돌기교차부분,병절단기육근막간점련.34례균치유.결론 근거림상특정,기본가학진OMS；수술치료가체도량호효과.
Objective To explore the etiology,diagnosis and treatment of omohyoid muscle syndrome(OMS).Method Clinical data of 34 OMS cases was analyzed retrospectively from 1980 to 2008.In the autopsy of 19 bodies we studied omohyoid muscle,especially the intermediate tendons,sheaths of tendon and projection of omohyoid muscles.Result The symptom of omohyoid muscle syndrome lies in a mass that can be seen on the neek while swallowing,and the patient feels discomfort and dysphagia.The mass disappears immediately after swallowing and cann't be found by palpation.Congenital fascia weakness,intermediate tendon sheath relaxation,atrophy,degeneration and contracture of omohuoid muscle causes OMS.OMS was diagnosed on clinical manifestation.All 34 patients were treated surgically including cutting off the cross part of omohyoid muscle and sternocleidomastoid muscle,separating adhesion of muscle and fascia.Postoperatively symptoms disappeared in all these 34 patients.Conclusions Omohyoid muscle syndrome is a disease that can be easily diagnosed basing on characteristic clinical symptom and sign,the prognosis is good if treated properly by an operation.