CAJ | 학술논문

目的探讨胸廓出口综合征显微外科治疗的临床疗效.方法对2012年1月至2013年3月收治的7例胸廓出口综合征进行分析,其中上干型1例,下干型5例,血管型l例.X线示C7横突过长2例,颈肋1例,未见骨性异常4例.采用前中小斜角肌切断术7例,臂丛神经外膜松解术3例.结果术后随访6 ～ 14个月,平均9.5个月.症状完全消失、能胜任原来工作、日常生活恢复正常4例;残留部分症状,但不影响原来工作2例;症状部分缓解1例.结论显微镜下斜角肌切断及臂丛神经外膜松解术治疗胸廓出口综合征,能更充分保护臂丛神经及其供血血管,术后临床效果良好.
목적 탐토흉곽출구종합정현미외과치료적림상료효.방법 대2012년1월지2013년3월수치적7례흉곽출구종합정진행분석,기중상간형1례,하간형5례,혈관형l례.X선시C7횡돌과장2례,경륵1례,미견골성이상4례.채용전중소사각기절단술7례,비총신경외막송해술3례.결과 술후수방6 ～ 14개월,평균9.5개월.증상완전소실、능성임원래공작、일상생활회복정상4례;잔류부분증상,단불영향원래공작2례;증상부분완해1례.결론 현미경하사각기절단급비총신경외막송해술치료흉곽출구종합정,능경충분보호비총신경급기공혈혈관,술후림상효과량호.
Objective To investigate the therapeutic efficacy of microsurgical treatment for thoracic outlet syndrome(TOS).Methods Microsurgical procedures were performed in seven patients with TOS from January 2012 to March 2013.There were upper trunk TOS in 1 case,lower trunk in 5 and vascular type TOS in 1.The findings of X-ray showed prolonged transverse process of 7th cervical vertebrae in 2 cases and cervical rib in 1.The resection of cervical rib and scalene muscles (including anterior,middle and minimal scalene muscles) were performed in 7 cases and neurolysis of brachial plexus in 3.Results The follow-up for 6-14 months (mean 9.5 months) suggested the excellent improvement of symptoms in 4 cases,part of syndrome residual in 2 and mild remission in 1.Conclusions Microsurgical decompression and neurolysis of brachial plexus was an effective method for patients with TOS.