Hassen-Khodja R, Batt M, Gagliardi J M, Daune B, Avril G, Le Bas P
Service de Chirurgie Vasculaire, C.H.U., de Nice.
Phlebologie. 1988 Nov-Dec;41(4):818-24.
This paper present 30 patients with subclavian venous compression caused by a thoracic outlet syndrome. 3 stages are differentiated: intermittent compression: 15 patients; acute occlusion: 5 patients; chronic occlusion: 10 patients. Every stage corresponds with a clinic and radiologic unit: venous claudication of the upper limb; phlebitis; post-phlebitis syndrome. 8/30 patients had a bilateral compression. 22/30 patients had an associated arterial compression. The hypertrophy of the subclavian muscle is the main etiology of the venous compression. The venography dynamic of the upper limb is the basic investigation. The resection of the first rib is the basic intervention, according to the technic of Roos. A venous thrombectomy was associated in 4 cases. A previous general thrombolysis was associated in one case.
本文介绍了30例因胸廓出口综合征导致锁骨下静脉受压的患者。分为3个阶段：间歇性受压：15例患者；急性闭塞：5例患者；慢性闭塞：10例患者。每个阶段都对应一个临床和放射学单元：上肢静脉性跛行；静脉炎；静脉炎后综合征。30例患者中有8例为双侧受压。30例患者中有22例伴有动脉受压。锁骨下肌肥大是静脉受压的主要病因。上肢静脉造影动态检查是基本的检查方法。根据鲁斯技术，切除第一肋是基本的干预措施。4例患者联合进行了静脉血栓切除术。1例患者联合进行了前期全身溶栓治疗。
