Ferencsik M, Piukovics K, Borbényi Z, Varga G
Szent-Györgyi Albert Orvostudományi Egyetem, II. sz. Belgyógyászati Klinika, Szeged.
Orv Hetil. 1990 Jul 8;131(27):1465-7.
During the last 3 years 263 patients were admitted who underwent diagnostic lymph node biopsy. Complications were observed only in 4 cases. In these cases, following cervical lymph node excision from the supraclavicular region, sectioning the spinal accessory nerve and branches of brachial plexus resulted in the "shoulder syndrome" which is characterized by a weakened, deformed, and often painful shoulder. Attention is called to the possibility of nerve injury during diagnostic excision of cervical lymph nodes. Most often the spinal accessory nerve and branches of brachial plexus are transected with subsequent deformity and decreased range of motion of the shoulder, which could influence deeply the quality of patient's life.
在过去3年中，263例患者接受了诊断性淋巴结活检。仅4例出现并发症。在这些病例中，从锁骨上区域切除颈部淋巴结后，切断副神经和臂丛神经分支导致了“肩部综合征”，其特征为肩部无力、变形且常伴有疼痛。需要注意在诊断性切除颈部淋巴结时存在神经损伤的可能性。最常见的是副神经和臂丛神经分支被切断，随后出现肩部畸形和活动范围减小，这可能会严重影响患者的生活质量。
