Lord J W
Department of Surgery, New York University Medical Center, New York.
Surg Gynecol Obstet. 1989 Apr;168(4):337-40.
A brief conceptual history of neurovascular compression in the thoracic outlet with emphasis on surgical intervention is presented. After the description of techniques for the removal of the first rib in 1962 and 1966, an explosion of operations for thoracic outlet syndromes occurred during the next two decades. A critical reappraisal by several experienced surgeons has led to a re-examination of the indications for surgical intervention. Serious complications involving the brachial plexus and the subclavian artery and vein have unfortunately led to widespread litigation. An attempt is made to define the place of diagnostic and therapeutic modalities that will encourage a favorable outcome in most patients.
本文简要介绍了胸廓出口神经血管压迫的概念史，重点是手术干预。在1962年和1966年描述了切除第一肋的技术后，在接下来的二十年里，针对胸廓出口综合征的手术激增。几位经验丰富的外科医生进行的严格重新评估导致了对手术干预适应症的重新审视。不幸的是，涉及臂丛神经以及锁骨下动静脉的严重并发症引发了广泛的诉讼。本文试图确定诊断和治疗方式的地位，以促使大多数患者获得良好的治疗效果。
