Richter H P
Neurochirurgische Klinik, Bezirkskrankenhaus Günzburg, Universität Ulm.
Nervenarzt. 1996 Dec;67(12):1034-7. doi: 10.1007/s001150050089.
A thoracic outlet syndrome is only rarely caused by osseous anomalies. Instead, it is a soft-tissue disease, where the C8 and T1 roots or the proximal inferior trunk of the brachial plexus are compressed by fibromuscular anomalies between the inferior cervical spine and the first rib or pleura. Thoracic outlet syndrome is a clinical diagnosis. If surgery is recommended, it should be concentrated on the fibromuscular anomalies and not on the first rib. Transaxillary removal of the first rib carries an important risk of serious complications. Among these, brachial plexus injury is the most frequent one.
胸廓出口综合征很少由骨骼异常引起。相反，它是一种软组织疾病，其中C8和T1神经根或臂丛神经下干近端被下颈椎与第一肋骨或胸膜之间的纤维肌肉异常所压迫。胸廓出口综合征是一种临床诊断。如果建议进行手术，应专注于纤维肌肉异常，而非第一肋骨。经腋路切除第一肋骨存在严重并发症的重大风险。其中，臂丛神经损伤最为常见。
