Lattoo Mohd Riyaz, Dar Abdul Majeed, Wani Mohd Lateef, Bhat Mohd Akbar, Ahangar Abdul Gani, Lone Gh Nabi, Singh Shyam, Zaman Muzaffar, Lone Reyaz Ahmad
Department of Cardiovascular and Thoracic Surgery, Sher-i-Kashmir Institute of Medical Sciences Srinagar Kashmir.
Senior resident CVTS SKIMS Soura Srinagar 190010.
Oman Med J. 2014 May;29(3):214-6. doi: 10.5001/omj.2014.52.
The aim of this study was to evaluate the trans-axillary surgical approach in patients with thoracic outlet syndrome.
This retrospective study is comprised of data acquired from January 1998 until Oct 2008. Case histories of all the patients were reviewed from the Medical Records Department of Sher-i-Kashmir Institute. Relevant information and follow-up of the patients was carried out by examining the relevant clinical notes available by telephone interviews and personal contact whenever possible. All data was compiled and analyzed statistically.
There were a total of 139 patients. The female: male ratio was about 6:1. Pain was the most common presenting symptom followed by weakness and parasthesia. Nerve conduction velocity was abnormal in 111 patients. Twenty-eight patients had abnormal Doppler study of subclavian vessels. Preoperative symptoms persisted in 13 patients. Overall, 126 patients showed improvement in symptoms and no recurrence or persistence of symptoms on follow-up examination.
Trans-axillary approach provides a good exposure and cosmesis in patients with thoracic outlet syndrome. It should be considered as the gold standard in the management of thoracic outlet syndrome.
本研究旨在评估经腋路手术治疗胸廓出口综合征患者的疗效。
本回顾性研究收集了1998年1月至2008年10月期间的数据。从谢里夫-克什米尔研究所的病历部门查阅了所有患者的病史。尽可能通过电话访谈和亲自联系检查相关临床记录，对患者进行相关信息收集和随访。所有数据进行了统计整理和分析。
共有139例患者。男女比例约为6:1。疼痛是最常见的症状，其次是无力和感觉异常。111例患者神经传导速度异常。28例患者锁骨下血管多普勒检查异常。13例患者术前症状持续存在。总体而言，126例患者症状改善，随访检查无复发或症状持续。
经腋路手术在胸廓出口综合征患者中提供了良好的暴露和美观效果。应将其视为胸廓出口综合征治疗的金标准。
