[上胸口的神经血管压缩综合征]
I I Tsuladze1, D Yu Usachev1,2,3, O N Dreval1
1Russian Medical Academy of Continuous Professional Education, Moscow, Russia.
Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko
|November 27, 2025
概括
上胸口神经血管压缩综合征包括各种影响椎轴心通道的疾病. 为了清晰度,建议将这些不同的病理归类为一个单一的统一术语.
科学领域:
- 人体解剖学 解剖学 解剖学
- 血管外科 血管外科
- 神经学 神经学
背景情况:
- 上胸口神经血管压缩综合征是一个集体术语,用于诸如宫肋骨,第一个肋骨变异和肌异常等疾病.
- 这些情况涉及神经血管束在狭窄的宫轴心通道内的压缩.
研究的目的:
- 分析上胸外出口神经血管压缩综合征的病因,病原和治疗.
- 为各种导致神经血管压缩的胸腔出口病理建立统一的分类.
主要方法:
- 关键病因因素及其发现的历史综述.
- 对手术治疗的分析,包括切除术,肋骨切除和关节骨切除.
- 检查致病基因治疗和外科手术方法的演变.
主要成果:
- 宫肋骨的历史描述可以追溯到加伦,在18世纪发现了神经血管压缩链接.
- 关键的贡献者确定了各种原因,包括第一个肋骨变异, costoclavicular 缩小,纤维肌带, scalene 肌肉缩和小胸部综合征.
- 传统的治疗方法包括切除术和肋骨/关节骨切除术,而在20世纪末和21世纪初出现的现代,不那么侵袭的方法.
结论:
- 建议使用一个统一的术语",上胸口神经血管压缩综合征".
- 这种综合分类更好地反映了神经血管束压缩在宫轴道的共同机制.
- 将这些不同的实体分组起来可以提高理解,并可能简化诊断和治疗方法.
相关概念视频
Arteries of the Upper Limbs
2.0K
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
2.0K
Disorders of the Autonomic Nervous System
1.4K
The autonomic nervous system (ANS) is an intricate network of nerves that controls functions such as the regulation of heart rate, digestion, and blood pressure regulation. When this system malfunctions, it can lead to various disorders that affect multiple bodily functions. One common feature of many autonomic disorders is the involvement of smooth blood vessels, which play a crucial role in regulating blood flow throughout the body.
Raynaud's disease, also known as Raynaud's...
Raynaud's disease, also known as Raynaud's...
1.4K
Spinal Nerves: Plexus I
2.3K
Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
2.3K
Aneurysm II: Clinical Manifestations and Diagnostic Studies
240
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
240
Spinal Nerves: Plexus II
1.9K
The plexuses of the lower body include the lumbar, sacral, and coccygeal plexuses, which innervate the abdomen, pelvis, legs, and coccygeal region. These plexuses control the transmission of sensory information and coordinate motor functions of the lower body.
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...
1.9K
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
326
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
326


