Lascelles R G, Mohr P D, Neary D, Bloor K
Brain. 1977 Sep;100(3):601-12. doi: 10.1093/brain/100.3.601.
Thirty-one patients with thoracic outlet syndrome have been studied in detail in the neurological and vascular clinics at this hospital. The patients were classified on the basis of their presenting symptoms into four groups--predominantly vascular, neurological, combined vascular and neurological, and pain and paraesthesiae alone. The majority of patients had radiological abnormalities and all had structural lesions in the superior thoracic aperture seen at operation. All operations were carried out through a standard supraclavicular approach, enabling the compressive structures to be visualized. This would not have been the case had the commoner trans-axillary approach for first rib resection been followed and in fact none of the operations included removal of the first rib. The results of operation were evident in our patients with a marked relief in their vascular symptoms, their pain and paraesthesiae and a slight but definite improvement in muscle bulk and power.
本院神经科和血管科对31例胸廓出口综合征患者进行了详细研究。根据患者的主要症状，将其分为四组：以血管症状为主、以神经症状为主、血管和神经症状并存、仅有疼痛和感觉异常。大多数患者有放射学异常，所有患者在手术中均发现胸上口有结构病变。所有手术均通过标准的锁骨上入路进行，使受压结构能够可视化。如果采用更常见的经腋入路切除第一肋，则情况并非如此，事实上，所有手术均未包括切除第一肋。手术结果在我们的患者中很明显，血管症状、疼痛和感觉异常明显缓解，肌肉体积和力量有轻微但明确的改善。
