先天性第一个和第二个肋骨融合导致神经性胸部出口综合征在青少年
Daiven S Sharma1, Ulugbek Negmadjanov2, Kevin Z Chang1
1Department of Vascular and Endovascular Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, NC.
Journal of vascular surgery cases and innovative techniques
|March 11, 2026
概括
第一个和第二个肋骨的先天性融合导致了青少年的神经性胸部出口综合征. 手术切除肋骨成功地解决了她的症状,防止了长期残疾.
科学领域:
- 儿科整形外科 儿科整形外科
- 神经外科 神经外科
- 人体解剖学 解剖学 解剖学
背景情况:
- 神经性胸部外出综合征 (NTOS) 可以导致上肢显著疼痛和神经缺陷.
- 胸腔的先天异常是儿科NTOS的罕见原因.
- 第一个-第二个肋骨同位症是NTOS的异常罕见病因.
研究的目的:
- 报告一个罕见的儿科NTOS二次的先天性第一-第二肋骨融合的病例.
- 突出诊断发现和成功的手术管理这种情况.
- 强调早期识别和干预的重要性,以预防慢性残疾.
主要方法:
- 一名14岁的女性出现了右/肩膀疼痛和侧麻醉.
- 计算机断层扫描 (CT) 图像检测发现右侧第一肋骨和第二肋骨的先天性融合.
- 手术涉及到结肋骨的切切除和前侧切除.
主要成果:
- CT成像证实了右侧第一个和第二个肋骨的先天融合,导致臂紧张.
- 保守的治疗未能缓解症状.
- 在手术减压后,所有症状的术后解消得到了实现.
结论:
- 先天性第一-第二肋骨同位症是一种罕见但可治疗的儿科神经性胸部出口综合征的原因.
- 迅速的手术减压对于症状的缓解和功能恢复至关重要.
- 早期诊断和干预可以预防长期的神经系统后果和残疾.
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