李大村 李炳万 赵维彦 132011吉林医学院附属医院手外科 中华手外科杂志 1999 0 0 1


    关键词：胸廓出口综合征；臂丛；显微外科手术；临床研究 期刊 zhswkzz 0 臂丛损伤与颈神经卡压 fur -->


    

【摘要】 目的 对臂丛神经血管受压征的不同临床表现与病因进行分析。方法 对36例臂丛神经血管受压征，术前均作颈椎正位片、肌电图及特殊试验检查。根据其症状及体征分为上干型、下干型、全臂丛型和不典型型四组。手术中证实了各型的病理基础并作了相应处理。结果 28例典型下干、全臂丛型是由斜角肌挛缩、第七颈椎横突过长、胸小肌间隙和锁骨下间隙变小等综合因素引起。8例上干、不典型型是由前、中斜角肌起点纤维嵌压引起。36例术后随访2年半，按张高孟的评定标准：优级21例；良级7例；可级5例；差级3例；总优良率为77.9%。结论 根据不同类型臂丛神经血管受压征的病因可为手术方案的设计提供依据。

Clinical classification of thoracic outlet syndrome LI Dacun, LI Bingwa n, ZHAO Weiyan. Department of Hand Surgery, The Affiliated Hospital of Jilin Medical Col lege, Jilin 132011

     【Abstract】 Objective To analyze the clinical manifestation and e tiology of thoracic outlet syndrome(TOS). Methods 36 cases of TOS were involved in this study.Roentgenography of the cervical vertebrae, electromyography and special te sts were performed preoperatively. Based on the symptoms and clinical manifestat ion, TOS was classified as upper trunk,lower trunk ......