Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri 63110, USA.
Ann Thorac Surg. 2012 May;93(5):1720-2. doi: 10.1016/j.athoracsur.2011.08.059.
Lung herniation after first rib resection for thoracic outlet syndrome (TOS) has not been reported to our knowledge. We present a unique case of cervical lung herniation causing displacement of the brachial plexus and chronic pain in a patient who had previously undergone supraclavicular thoracic outlet decompression with first rib resection. This was successfully treated with thoracoscopic reduction and resection of the herniated lung and pleural flap closure of the defect.
据我们所知，第一肋骨切除术后出现的气胸尚未有报道。我们报告了一例罕见病例，该患者曾行锁骨上胸廓出口减压联合第一肋骨切除术，现因颈侧部气胸导致臂丛神经移位和慢性疼痛。该患者经电视胸腔镜下气胸复位、肺疝入组织切除和胸膜瓣关闭缺损后，症状得到了成功缓解。
