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同期手术治疗胸廓出口综合征合并远端神经卡压的疗效
引用本文:路新民,杨毅群,李巧转,郝淑珍.同期手术治疗胸廓出口综合征合并远端神经卡压的疗效[J].中华手外科杂志,2001,17(Z1):37-39.
作者姓名:路新民  杨毅群  李巧转  郝淑珍
作者单位:1. 山西省阳泉市第三人民医院手外科,
2. 山西省阳泉市第三人民医院CT室
3. 阳泉市第三人民医院肌电图室
4. 阳泉市南庄煤矿医院外科
摘    要:目的探讨远近端同期手术治疗胸廓出口综合征合并远端神经卡压的疗效。方法对8例胸廓出口综合征合并远端神经卡压者,一期同时手术松解臂丛神经及远端神经卡压,并消除了全部卡压因素。结果按成效敏等的评定标准评价优3例,良4例,差1例。结论对晚期已出现肌萎缩的胸廓出口综合征合并远端神经卡压患者,应选择一期远近端神经同时松解术,以改善疗效、提高治愈率。

关 键 词:胸廓出口综合征    显微外科手术    治疗结果    双卡综合征
修稿时间:2001年3月20日

Treatment outcome of thoracic outlet syndrome in conjunction with distal nerve compression at the same stage
LU Xinmin,YANG Yiqun,LI Qiaozhuan,et al..Treatment outcome of thoracic outlet syndrome in conjunction with distal nerve compression at the same stage[J].Chinses Journal of Hand Surgery,2001,17(Z1):37-39.
Authors:LU Xinmin  YANG Yiqun  LI Qiaozhuan  
Institution:LU Xinmin,YANG Yiqun,LI Qiaozhuan,et al. Department of Hand Surgery,Yanquan 3rd Hospital,Shanxi 045000,China
Abstract:Objective To investigate treatment outcome of thoracic outlet syndrome in conjunction with distal nerve compression at the same stage. Methods 8 cases of thoracic outlet syndrome in conjunction with distal nerve compression were involved. Neuro lysis of brachial plexus and distal nerve compression was done at same stage. All compressed factors were excised. Results According to assessment standard described by Chen , treatment outcome was excellent in 3 cases, good in 4 cases, poor in 1 cases.Conclusions For patients with thoracic outlet syndrome in conjunction with distal nerve compression who presented with muscle atrophy, neurolysis of the proximal and distal nerve should be done at the same stage to improve treatment outcome and curative rate.
Keywords:Thoracic outlet syndrome  Microsurgery  Treatment outconme  Double    crush nerve compression syndrome
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