胸廓出口综合征：其临床评估的可靠性不足
Thoracic outlet compression syndrome: the lack of reliability of its clinical assessment.
作者信息
Warrens A N, Heaton J M
机构信息
John Radcliffe Hospital, Oxford.
出版信息
Ann R Coll Surg Engl. 1987 Sep;69(5):203-4.
Abstract
Four manoeuvres advocated for the assessment of thoracic outlet compression were performed on 64 randomly chosen volunteers. Although only 17% had any symptoms of thoracic outlet compression, 58% had a positive result in at least one of the manoeuvres. Only 2% were positive for more than two manoeuvres. We suggest this low specificity devalues these tests in clinical practice. We were unable to correlate our clinical results with the findings of digital photoplethysmography.
摘要
对64名随机选取的志愿者进行了四种用于评估胸廓出口综合征的动作测试。尽管只有17%的人有胸廓出口综合征的症状，但58%的人在至少一项动作测试中结果呈阳性。只有2%的人在两项以上动作测试中呈阳性。我们认为这种低特异性使得这些测试在临床实践中的价值大打折扣。我们无法将临床结果与数字光电容积描记法的结果相关联。
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本文引用的文献
1
Thoracic outlet arterial compression: prevalence in normal persons.胸廓出口动脉压迫：正常人中的患病率。
Angiology. 1980 Aug;31(8):538-41. doi: 10.1177/000331978003100805.
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