Stallworth J M, Horne J B
Arch Surg. 1984 Oct;119(10):1149-51. doi: 10.1001/archsurg.1984.01390220035008.
During the past 15 years, using plethysmography and maneuvers originally described by other researchers, we have tested 1,140 patients who had thoracic outlet symptoms. The vascular compression was recorded noninvasively, which also reflected the pressure on accompanying nerves in the brachial bundle. If the neurologic symptoms were reproduced at this time, the diagnosis of thoracic outlet syndrome was positive. Following exercise treatment (without improvement), 194 patients underwent operative exploration. By performing costoclavicular and hyperabduction maneuvers during axillary exploration, the tissue causing compression was identified and the muscle, bone, or tendon was divided or resected. Division of soft tissues in 180 patients resulted in improvement in the conditions of 173 patients (96%). Bone resection allowed relief of symptoms in six (43%) of 14 patients.
在过去15年里，我们运用其他研究者最初描述的体积描记法和动作，对1140名有胸廓出口综合征症状的患者进行了检测。通过非侵入性记录血管受压情况，这也反映了臂丛神经束中伴行神经所受的压力。如果此时再现神经症状，则胸廓出口综合征诊断为阳性。在进行运动治疗（无改善）后，194名患者接受了手术探查。通过在腋窝探查时进行肋锁和过度外展动作，确定引起压迫的组织，并对肌肉、骨骼或肌腱进行分离或切除。180名患者的软组织分离使173名患者（96%）的病情得到改善。14名患者中有6名（43%）通过骨切除缓解了症状。
