OUR CLINICAL EXPERIENCES: THORACIC OUTLET SYNDROME

Giriş: Brakial pleksus ve subklavian damarların servikoaksiller kanalda basıya uğramasına Toraksın çıkım sendromu denilir. Etyolojik nedenlerin başında konjenital fibromuskuler ve osseöz anomaliler gelir. Üst ekstremite sinirlerinin elektrofizyolojik çalışmaları nörojenik TOS'un kanıtlanmasında tek ve en güvenilir tanı yöntemidir. Materyal-Metot: Kliniğimizde 2008-2014 yılları arasında 10 hastaya TOS tanısı konuldu. Hastaların yaş ortalaması 46,2 , 5 kadın, 5 erkek kişiden oluşmaktaydı. Hastalarımızın hepsinin şikayeti ortalama 14 ay idi. Hastaların hepsine supraklaviküler yaklaşım ile brakial pleksus dekompresyonu yapıldı. Hastaların hepsinin preoperative ve postoperative ağrısı VAS skoru ile değerlendirildi. Sonuçlar: Hastalardan birine yalnızca skalenektomi, dört hastaya servikal kot rezeksiyonu ve skalenektomi, üç hastaya skalenektomi ve 1. kot rezeksiyonu yapıldı. Hastalarımızda postoperatif major komplikasyon ve rekürrens gelişmedi. Hastaların preoperatif kol ağrısı VAS skoru ortalama 6.3 , postoperatif kol ağrısı VAS skor ortalaması 2.1 olarak değerlendirildi.Çıkarım: Çalışmalar cerrahi olmayan ve cerrahi tedavilerin iyi sonuçlar verdiği yönünde. Tedaviye cerrahi olmayan yöntemler ile başlanabilir, inatçı vakalarda cerrahi tercih edilir.

TORASİK ÇIKIŞ SENDROMU: KLİNİK DENEYİMLERİMİZ

Introduction: The compression of the brachial plexus and subclavian circulatory elements at the cervicoaxillar canal is called the thoracic outlet syndrome (TOS). Among the ethological reasons, congenital fibromuscular osseous anomalies lead the top. Electrophysiological study of the upper nerves is single most dependable diagnostic test.Material-Method: In our clinic between the years 2008 and 2014, 10 patients were diagnosed with TOS. The average age of the patients were 46.2 , with 5 of them being women and the remaining 5 men. The average length of the symptoms was 14 months . 4 of the patients were undergone operation with transaxillary approach and the other 4 with supraclavicular approach for decompression of the brachial plexus. All of the patients were evaluated using the VAS score.Results: Solitary scalenectomy was done on one patient, single cervical cot resection was done to 4 of the patients and both scalenectomy and cot resection was done to 3 patients. No major complications or recurrence were observed on the patients. The average preoperative VAS score of the patients were 6.3 lowered to an average of 2.1 after the surgical intervention.Conclusion: The previous articles reported benefit results from both surgical and non-surgical methods. We believe that a treatment plan should be worked on for every patient starting with non-surgical treatment, going with the surgical way on recurrent cases.

Kaynakça

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Kaynak Göster

  • ISSN: 2147-5903
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1989
  • Yayıncı: Galenos Yayınevi

2.9b 2.2b

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