Abstract:
Thoracic outlet syndrome is a challenging clinical condition in terms of diagnosis, treatment, and health-related quality of life assessment. In this review, the authors provide a description of the clinical approach, surgical management, and longitudinal follow-up for patients with neurogenic, venous, and arterial thoracic outlet syndrome. The review represents the experiences of a high-volume, dedicated thoracic outlet syndrome program, where patients are treated in a multidisciplinary team and operative decompression occurs through primarily a supraclavicular approach. Data supporting the safety and efficacy of this approach are provided, as are clinical care considerations for surgeons treating patients with thoracic outlet syndrome.
摘要:
就诊断而言,胸腔出口综合征是一种具有挑战性的临床疾病,治疗,和健康相关的生活质量评估。在这次审查中,作者提供了临床方法的描述,手术管理,对神经源性患者进行纵向随访,静脉,和动脉胸腔出口综合征。审查代表了大量的经验,专门的胸廓出口综合征计划,在多学科团队中治疗患者,主要通过锁骨上方法进行手术减压。提供了支持这种方法的安全性和有效性的数据,外科医生治疗胸廓出口综合征患者的临床护理注意事项也是如此。