Pokrovskiĭ A V, Moskalenko Iu D, Gashtov A Kh, Seleznev A N
Zh Nevropatol Psikhiatr Im S S Korsakova. 1976;76(8):1172-7.
The authors observed 111 cases with the anterior scalenus syndrome. Ninety-three patients underwent surgical treatment. Acknowledging the predominant role of the anterior scalenus muscle in the pathogenesis of this disorder the authors performed scalenotomia. In the group of patients with a noncomplicated development of the disease (48 cases) the operation appeared to be effective in 93.7% of the cases, while in vascular complications (45 cases) the effectiveness of the operation was significantly reduced. A positive result in these cases was attained only in 51.1%. On the basis of these data the authors come to the conclusion that scalenotomia performed in the initial, noncomplicated stages of the disease is a good prophylactic measure for severe complications in the magistral vessels and is an effective method of treatment of the scalenus-anticus syndrome.
作者观察了111例前斜角肌综合征患者。93例患者接受了手术治疗。鉴于前斜角肌在该疾病发病机制中的主要作用，作者进行了斜角肌切断术。在疾病发展未出现并发症的患者组（48例）中，手术在93.7%的病例中显示有效，而在伴有血管并发症的患者组（45例）中，手术的有效性显著降低，仅51.1%的病例获得了阳性结果。基于这些数据，作者得出结论，在疾病的初始、未出现并发症阶段进行斜角肌切断术，是预防主血管严重并发症的良好措施，也是治疗前斜角肌综合征的有效方法。
