胸廓出口综合征的诊断与治疗  

Diagnosis and Treatment of Thoracic Outlet Syndrome

作　　者：王振捷[1] 于洪泉[1] 任华[1] 鞠进 孙成孚[1] 

机构地区：[1]中国医学科学院中国协和医科大学 协和医院,北京100730

出　　处：《中国医学科学院学报》1998年第4期308-312,共5页Acta Academiae Medicinae Sinicae

摘　　要：目的 胸廓出口综合征是一种常见的由于局部解剖异常引起的临床病症,临床上极易误诊,本工作提出重视本症的临床诊断,并对仔细探查,彻底松解的手术特点进行讨论。方法 本院自1982～1996年手术治疗13例17侧胸廓出口综合征患者。本工作对其临床表现,解剖异常,误诊疾病,检查手段,手术方式及疗效进行回顾性比较研究并加以分析。结果 92%的患者确诊前被误诊过一种或多种其它疾病,病史最长10年。手术探查发现构成症状的解剖异常有8种之多,手术松解疗效满意。结论 提高对本症的认识水平和重视程度,准确地进行体格检查是正确诊断的关键。对体征阳性且有典型临床症状者予以手术治疗,采用腋下切口彻底松解,取得满意效果。Objective Thoracic outlet syndrome (TOS) is clinically common, but liable to be misdiagnosed. We would like to emphasize the recognition of TOS, and through thorough examination for a complete relief from indicated.operation. Methods 13 cases receiving surgical operations in PUMC hospital from 1982 to 1996 are reported and discussed the cause of misdiagnosis, investigate the various kinds of abnormalities and compare the result of operation. Results 92% of the patients had experence of being misdiagnosed for other diseases, the history may be as long as 10 years. In the operations we found 8 kinds of anatomic abnormalities that cause the symptoms and complete relief is satisfactory. Conclusions We have to emphasize the recognition of TOS. The thorough physical examination is important to diagnosis. Patients with typical and apparent symptoms need an operation to relieve the thoracic outlet through the transaxillary approach.

关 键 词：胸廓出口综合征 诊断 外科手术 

分 类 号：R655.05[医药卫生—外科学]