Tsitsuashvili G A, Budzhiashvili V K, Gogeliani A G, Dzhavakhishvili G V, Rcheushvili I G
Georgian Med News. 2005 Oct(127):11-6.
The purpose of this study was to assess the results of decompression of the thoracic outlet due to scalenus anticus syndrome and thus to give recommendation for a safe and effective surgical treatment. Over a 20-years period 100 patients (125 operations) underwent thoracic outlet decompression. There were 77 females and 23 male, with a median age 29 years (13-45), 4 pediatric patients were under 16 years. Of the 125 affected limbs, the indications for surgery were combination of both neurological and vascular symptoms in 55 patients, neurological symptoms in 21, and 24 patients had vascular symptoms alone. 54 patients had a transient ischemic attacks (TIA) due to the disturbance of the blood flow in the vertebral arteries, and 4 cardialgia due to the reduced blood flow in the thoracic internal arteries. From the results of this study we concluded that supraclavicular scalenectomy is a safe and effective procedure for most patients with scalenus anticus syndrome.
本研究的目的是评估因前斜角肌综合征行胸廓出口减压术的结果，从而为安全有效的手术治疗提供建议。在20年的时间里，100例患者（125次手术）接受了胸廓出口减压术。其中女性77例，男性23例，中位年龄29岁（13 - 45岁），4例儿科患者年龄在16岁以下。在125条受累肢体中，55例患者的手术指征为神经和血管症状并存，21例有神经症状，24例仅有血管症状。54例患者因椎动脉血流紊乱出现短暂性脑缺血发作（TIA），4例因胸廓内动脉血流减少出现心前区疼痛。从本研究结果我们得出结论，对于大多数前斜角肌综合征患者，锁骨上斜角肌切除术是一种安全有效的手术方法。
