Long-term results of thoracic outlet decompression.

スポンサーリンク

概要

• 論文の詳細を見る

• We reviewed 48 patients (24 men and 24 women) who underwent 53 primary operations for thoracic outlet syndrome (TOS) . Age at the time of surgery ranged from 15 to 60 years (average 28.0 years) . We performed 43 transaxillary first-rib resections, 8 scalenotomies via a supraclavicular approach, and 2 combined operations (transaxillary plus supraclavicular approach) . In 56.6% of the patients, single or multiple anatomical abnormalities were noted. Twelve patients (25%) had a history of neck trauma. The average follow-up period was 10 years (range 6 to 17 years) . Good or excellent results were obtained in 74.4% of the transaxillary first-rib resections, 50% of the scalenotomies, and 100% of the combined operations. As for complications, no permanent nerve injury occurred. We conclude that transaxillary first-rib resection is a safe and effective treatment for TOS. This study confirmed that the success rate of transaxillary first-rib resection did not decrease during a long-term follow-up period. However, scalenotomy was less effective for TOS. Anatomical abnormalities, preoperative neurological deficits, and gender had no effect on the results. A history of trauma did not have a negative effect. In a majority of the patients with fair or poor results, not only compression but also stretching of the brachial plexus were suspected as the underlying pathophysiology. Excluding such patients in final assessment would yield better long-term results thoracic outlet decompression.

• 日本関節病学会の論文

日本関節病学会 | 論文

• 関節リウマチ患者における手術と機能回復
• 低出力超音波刺激(LIPUS)および線維芽細胞増殖因子(FGF-2)の骨形成促進作用におけるヒアルロン酸(HA)の影響
• 変形性関節症に対するグルコサミン・コンドロイチンの有用性 (第36回[日本関節病]学会寄稿)
• 人工膝関節再置換術の経験--脛骨結節骨切り術の適応と合併症について
• RA頚椎病変に対する上位頚椎後方除圧固定術の治療成績と問題点

もっと見る

スポンサーリンク