外科医生进行的外周神经阻断用于识别胸部出口综合征
Josiah T Hardy1, Anahita Shiva1, Khanjan Nagarsheth2
1University of Maryland School of Medicine, Baltimore, USA.
The American surgeon
|May 17, 2025
概括
外科医生进行的超声波导向神经块有效诊断胸部外出综合征 (TOS). 这种方法确定了需要手术的患者,超过70%的患者在血管手术后经历了症状缓解.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 神经学 神经学
背景情况:
- 胸腔出口综合征 (TOS) 涉及胸腔出口中的神经血管压缩,导致手臂疼痛和虚弱.
- 传统诊断依赖于放射科医生和疼痛专家进行的神经阻塞.
- 外科医生对TOS诊断和治疗的神经阻塞的有效性仍在研究中.
研究的目的:
- 评估血管外科医生在诊断和治疗TOS时进行的超声波导向神经阻塞的有效性.
- 评估神经阻塞和随后的手术干预结果之间的相关性.
主要方法:
- 在2022年至2023年期间,血管外科医生对患者进行了超声波导向神经阻塞的回顾性图表审查.
- 对神经性TOS的诊断产量的分析以及与手术干预和术后症状改善的相关性.
主要成果:
- 在87名患者中,72.4%被诊断为神经性TOS.
- 在52.9%的患者中进行了手术干预.
- 在接受手术的患者中,71.7%的人报告了术后症状的改善.
结论:
- 由血管外科医生进行的超声导向外周神经阻塞为神经性TOS提供了有效的诊断途径.
- 这种方法有效地识别出可能受益于血管外科手术后长期缓解症状的患者.
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