Wood V E, Twito R, Verska J M
Department of Orthopedic Surgery, Loma Linda University Medical Center, California.
Orthop Clin North Am. 1988 Jan;19(1):131-46.
We examined 100 patients with the TOS treated surgically. One hundred and twenty first ribs were resected using the transaxillary approach. Ninety per cent good and excellent results were obtained. EMGs and conduction studies through the outlet are of little value. Many of our patients presented with a double crush syndrome. Trauma was a significant antecedent in 44 per cent of our patients. The diagnosis of TOS depends on a careful clinical evaluation. There are no laboratory tests, x-rays, electrical studies, or infallible clinical tests to establish the diagnosis. There will always be some errors in diagnosis, and surgery must be advised on a basis of exclusion and with great reservation.
我们对100例接受手术治疗的胸廓出口综合征患者进行了检查。采用经腋窝入路切除了120根第一肋骨。获得了90%的良好和优秀结果。通过胸廓出口的肌电图和传导研究价值不大。我们的许多患者表现为双重压迫综合征。44%的患者有明显的外伤史。胸廓出口综合征的诊断依赖于仔细的临床评估。没有实验室检查、X线检查、电生理检查或绝对可靠的临床检查来确立诊断。诊断总会存在一些误差，必须在排除其他疾病的基础上并极为谨慎地建议进行手术。
