CAJ | 학술논문

目的报告内窥镜辅助下手术治疗下干型胸廓出口综合征的方法及临床疗效.方法采用内窥镜辅助下经腋路第一肋骨切除术治疗下干型胸廓出口综合征14例.结果术后随访时间为12～24个月,14例患者症状完全解除,未见复发.4例第一骨间背侧肌萎缩者,有2例完全恢复,2例部分恢复.按照Wood等提出的评价标准评定:优11例(占78.6%).良3例(占21.4%).结论经腋路内窥镜辅助下切除第一肋骨治疗下干型胸廓出口综合征,手术创伤小.伤口隐蔽,减压彻底,疗效满意.
목적 보고내규경보조하수술치료하간형흉곽출구종합정적방법급림상료효.방법 채용내규경보조하경액로제일륵골절제술치료하간형흉곽출구종합정14례.결과 술후수방시간위12～24개월,14례환자증상완전해제,미견복발.4례제일골간배측기위축자,유2례완전회복,2례부분회복.안조Wood등제출적평개표준평정:우11례(점78.6%).량3례(점21.4%).결론 경액로내규경보조하절제제일륵골치료하간형흉곽출구종합정,수술창상소.상구은폐,감압철저,료효만의.
Objective To report a method and clinical effect of endoscope assisted surgery for treatment of lower trunk type thoracic outlet syndrome.Methods fourteen cases of lower plexus type thoracic outlet syncLrome were treated with transaxillary first nb reaction assisted by endoscope.Results All the eases were followed for 12 to 24 months postoperatively.Symptoms were relieved in all of the 14 cases and there was no one recurrence.For the 4 eases with muscle atrophy of the first dorsal interosscous muscle,complete restoration was achieved in 2 cases and partial restoration in 2 cases.According to Wood's evaluation criteria,the results were rated as excellent in 11 cases (78.6%) and good in 3 cases (21.4%).Conclusion Endoscopoe assisted transsxillary first rib resesction is an optimal procedure for the treatment of thoracic outlet syndrome.It is minimally invasive with a small and concealed incision.It achieves complete decompression,which leads to low recurrent rate and satisfactory results.