Thoracic outlet syndrome is overdiagnosed.
Thoracic outlet syndrome is overdiagnosed.
复制标题
胸廓出口综合征被过度诊断。
DOI：
10.1001/archneur.1990.00530030106024
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发表时间：
1990
期刊：
影响因子：
3.4
通讯作者：
A. Wilbourn
中科院分区：
文献类型：
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作者：
A. Wilbourn
胸廓出口综合征（TOS）是指神经血管结构（锁骨下/腋窝动静脉、颈根远端、臂丛纤维）穿过胸廓出口受损所致的疾病。根据受影响的特定结构，胸廓出口综合征可细分为四个不同的亚群，因为很少有不止一个人同时受累。这些亚群是动脉血管、静脉血管、真实（或经典）神经和有争议的神经。前三种类型是没有争议的。由于篇幅限制，不能详细讨论血管类型；他们的详细描述是可用的。3-6他们与真正的神经系统类型（真正的N-TOS）有几个共同的特征，包括特征性的症状特征、明显的临床表现、实验室研究的证实性结果、作为一个实体的全球认可和低发病率。例如，真正的N-TOS是一种罕见的单侧病变，主要影响成年女性。由远端C-8/T-1根或近端下干引起
Thoracic outlet syndrome (TOS) refers to disorders attributed to compromise of the neurovascular structures—subclavian/axillary artery and vein, distal cervical roots, brachial plexus fibers—traversing the thoracic outlet. 1 Thoracic outlet syndrome can be subdivided into four distinct subgroups, depending on the particular structure affected, because seldom is more than one involved simultaneously. 2 These subgroups are arterial vascular, venous vascular, true (or classic) neurologic, and disputed neurologic. 3 The first three types are noncontroversial. Because of space limitations the vascular types cannot be discussed in detail; detailed descriptions of them are available. 3-6 They share several common features with the true neurologic type (true N-TOS), including characteristic symptom profile, obvious clinical findings, confirmatory results of laboratory studies, worldwide recognition as an entity, and low incidence. For example, true N-TOS is a rare lesion that occurs unilaterally and primarily affects adult women. Caused by the distal C-8/T-1 roots or proximal lower trunk