Thompson R W, Petrinec D, Toursarkissian B
Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Ann Vasc Surg. 1997 Jul;11(4):442-51. doi: 10.1007/s100169900074.
Supraclavicular exploration has become a widely utilized, versatile, and effective approach in the treatment of thoracic outlet compression syndromes. It is applicable to neurogenic, arterial, and venous form of TOS. Although certain aspects of the surgical anatomy are quite familiar to most vascular surgeons, considerable attention must be given to the details of this procedure to avoid inadequate decompression, serious injury, or predictable causes of recurrent compression. Supraclavicular exploration and its variations provide an excellent approach to the entire spectrum of problems encountered in patients with TOS, and in many centers it has superceded the transaxillary approach previously popularized for these disorders. Because supraclavicular exploration for TOS involves a number of unique technical considerations and because it is typically applied to a difficult clinical problem outside the routine experience of most vascular surgeons, it should be undertaken only with appropriate training and interest in the comprehensive management of patients with TOS.
锁骨上探查术已成为治疗胸廓出口综合征广泛应用、用途广泛且有效的方法。它适用于神经源性、动脉性和静脉性胸廓出口综合征。尽管大多数血管外科医生对手术解剖的某些方面相当熟悉，但必须高度重视该手术的细节，以避免减压不充分、严重损伤或复发性压迫的可预测原因。锁骨上探查术及其变体为胸廓出口综合征患者所遇到的各种问题提供了极佳的解决方法，在许多中心，它已取代了先前针对这些疾病而流行的经腋窝入路。由于针对胸廓出口综合征的锁骨上探查涉及一些独特的技术考量，且通常应用于大多数血管外科医生常规经验之外的复杂临床问题，因此只有在对胸廓出口综合征患者的综合管理有适当培训且感兴趣的情况下，才应进行该手术。
