Branchereau A, Castro M, Devin R
Nouv Presse Med. 1976 Nov 6;5(37):2451-4.
The authors report ten cases of cervical ribs operated upon in 7 patients. The predominantly neurological symptoms and signs were associated with vascular problems in 3 cases, with intermittent compression of the sub-clavian vessels. Treatment consisted of resection of the cervical rib and the first rib via an extra-pleural axillary approach using the technique described by Roos. It gave 10 good results with a follow-up of 6 months to 3 years. The authors emphasise the fact that this pathology falls within the context of compressive syndromes of the root of the upper limb or thoracic outlet syndrome. Such a conception justifies associated resection of the first rib which should give better long term results than simple resection of the extra rib.
作者报告了对7例患者实施的10例颈肋手术。主要的神经症状和体征在3例中与血管问题相关，存在锁骨下血管的间歇性受压。治疗方法是采用鲁斯（Roos）描述的技术，通过胸膜外腋窝入路切除颈肋和第一肋。随访6个月至3年，取得了10例良好效果。作者强调，这种病变属于上肢根部压迫综合征或胸廓出口综合征的范畴。这样的观念证明了联合切除第一肋是合理的，这应该比单纯切除额外的肋骨能带来更好的长期效果。
