Nasim A, Sayers R D, Healey P A, Bell P R, Barrie W W
Department of Surgery, Leicester General Hospital NHS Trust, UK.
J R Coll Surg Edinb. 1997 Oct;42(5):319-23.
During a 20-year period from 1974 to 1994, 37 thoracic outlet decompressions were performed. There were 28 females and six males (ratio 5:1). The median age was 37 years (range 15-64). Symptoms were predominantly neurological in 29 limbs (78%), arterial in five limbs (14%) and venous in three limbs (8%). Limb pain and paraesthesia were the most common symptoms. Surgical decompression was performed via a supraclavicular approach in 24 limbs (65%) and a transaxillary approach in 13 limbs (35%). A cervical rib was excised in 21 limbs (57%), a first rib in 10 limbs (27%), a cervical and first rib in one limb (3%) and a cervical band in five limbs (13%). Arterial reconstruction was only required in three limbs (8%). There were a total of four complications (11%). The outcome of surgical decompression was assessed by using a questionnaire completed by the patient. Overall 27 patients (87%) felt that the operation was worthwhile. These results show that surgical decompression for thoracic outlet syndrome is a worthwhile procedure and is associated with relatively few complications.
在1974年至1994年的20年期间，共进行了37例胸廓出口减压手术。其中女性28例，男性6例（比例为5:1）。年龄中位数为37岁（范围15 - 64岁）。29条肢体（78%）的症状以神经症状为主，5条肢体（14%）为动脉症状，3条肢体（8%）为静脉症状。肢体疼痛和感觉异常是最常见的症状。24条肢体（65%）通过锁骨上入路进行手术减压，13条肢体（35%）通过经腋窝入路进行手术减压。21条肢体（57%）切除了颈肋，10条肢体（27%）切除了第一肋，1条肢体（3%）切除了颈肋和第一肋，5条肢体（13%）切断了颈横韧带。仅3条肢体（8%）需要进行动脉重建。总共有4例并发症（11%）。通过患者填写的问卷对手术减压的结果进行评估。总体而言，27例患者（87%）认为手术是值得的。这些结果表明，胸廓出口综合征的手术减压是一种值得进行的手术，且并发症相对较少。
