Baker D M, Lamerton A J
Lincoln County Hospital.
Ann R Coll Surg Engl. 1993 May;75(3):172-4.
The 5-year experience of one surgeon in treating 50 consecutive patients (57 limbs) with the thoracic outlet compression syndrome (TOCS) is described. A predominance of neurological symptoms presented; each was treated in a similar fashion with extensive resection of the first rib and excision of fibrous bands and cervical ribs. Results of surgery (84% complete resolution or improvement of symptoms) compare favourably with others. This series demonstrates that although the technicality of the surgery demands a surgeon very familiar with the operation, this need not be undertaken in a regional centre.
本文描述了一位外科医生连续治疗50例(57条肢体)胸廓出口综合征(TOCS)患者的5年经验。主要表现为神经症状;每位患者均采用类似方法进行治疗,即广泛切除第一肋并切除纤维束带和颈肋。手术结果(84%的患者症状完全缓解或改善)与其他结果相比具有优势。该系列研究表明,尽管该手术的技术要求外科医生非常熟悉该操作,但不一定需要在区域中心进行。