Clinical predictors of surgical outcome in patients with thoracic outlet syndrome operated on via transaxillary approach.
Clinical predictors of surgical outcome in patients with thoracic outlet syndrome operated on via transaxillary approach.
复制标题
经腋窝入路手术的胸廓出口综合征患者手术结果的临床预测因素。
DOI：
10.1016/j.ejcts.2003.11.021
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发表时间：
2004
期刊：
影响因子：
--
通讯作者：
O. Tokat
中科院分区：
文献类型：
--
作者：
Ş. Yavuzer;C. Atinkaya;O. Tokat
目的：虽然经腋下入路似乎是胸廓出口综合征（TOS）患者的最佳入路，但临床特征对手术结果的影响仍不清楚。我们进行了一项研究，以确定手术结果的临床预测因素与TOS。方法：我们检查了数据图表的TOS患者谁接受了手术，通过经腋下的方法。结果：共分析127例患者，年龄14-62岁，平均32.1±10.0岁。手术结果良好和不良的比率分别为82.7%和17.3%。症状持续时间（P=0.023）、尺神经传导速度（P=0.033）和颈肋存在（P=0.003）亚组与手术结果显著相关。多变量分析显示，症状持续时间较短（P=0.017）和存在的颈肋（P=0.026）有一个显着不利的影响手术outcome.Conclusions：症状持续时间较短，存在的颈肋可能意味着一个不利的手术结果与TOS患者。
Objectives: Although the transaxillary route appears to be the optimal approach in patients with thoracic outlet syndrome (TOS), the effect of clinical features on surgical outcome remains unclear. We conducted a study to determine the clinical predictors of surgical outcome in patients with TOS.Methods: We examined the data charts of patients with TOS who underwent operation via transaxillary approach. We investigated the possible correlations between the clinical features and surgical outcomes, and analyzed the data with logistic regression model to clarify the effect of clinical features on surgical outcome.Results: A total of 127 patients with a mean age of 32.1±10.0 years (range 14–62 years) were analyzed. The rates of favorable and poor surgical outcomes were 82.7 and 17.3%, respectively. The subgroups of symptom duration (P=0.023), the subgroups of ulnar nerve conduction velocity (P=0.033) and the presence of cervical rib (P=0.003) showed a significant correlation with surgical outcome. Multivariate analysis revealed that the shorter duration of symptoms (P=0.017) and the presence of a cervical rib (P=0.026) had a significantly unfavorable effect on surgical outcome.Conclusions: The shorter duration of symptoms and the presence of a cervical rib may imply an unfavorable surgical outcome in patients with TOS.