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Sibson筋膜导致胸廓出口综合症
Hits: 2295   Download times: 1233   Received:November 21, 1995    
作者Author单位UnitE-Mail
田存平 Tian Cunping 山西医学院附属一院,030001 The First Affiliated Hospital of Shanxi MedicalCollege 030001  
王瑞庆 Wang Ruiqing 山西医学院附属一院,030001 The First Affiliated Hospital of Shanxi MedicalCollege 030001  
尹云生 Yin Yunsheng 山西医学院附属二院  
张正之 山西医学院附属一院,030001 The First Affiliated Hospital of Shanxi MedicalCollege 030001  
期刊信息:《中国骨伤》1997年10卷,第3期,第6-7页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
本文分析了1987~1995年手术治疗45例胸廓出口综合症病人,经手术证实引起胸廓出口综合症之主要病因中除通常所述的斜角肌病变、预肋、胸小肌出点处病变和肋锁间隙病变外。还有一种病因,即胸膜上筋膜(Sibson筋膜)卡压臂丛下干而导致胸廓出口综合症。其中7列行手术探查肘,未发现其他卡压因素,仅发现臂丛下手表面覆盖一层薄的筋膜,遂对此筋膜进行了松解,术后症状明显缓解,因此认为此膜系卡压因素。
[关键词]:胸廓出口综合征  胸膜上筋膜
 
Thouracic Outlet Syndrome Induced by Sibson's Fascia
Abstract:45 cases of thoracic outlet syndrome were treated with operation and analysed from 1987 to 1995.The main causes of thoracic outlet syndrome were demonstrated with operation that in addition to the commonly mentioned cervical rib,pathological changes of scalene muscle. pectoral muscle and costoclavicular space, there was a kind of etiology,i. e. the thoracic outlet syndrome was induced by long time compression of suprapleural fascia (Sibaon's fascia)on the inferior trunk of brachial plexus. In the process of operative exploration,it was found in seven cases that only a thin layer of fascia covered over the inferior trunk of brachial plexus. without any other factor of long compression. As this fascia had been relaxed,the syndrome was significantly eliminated. Therefore.it was considered that this fascia is a factor for long compression.
KEYWORDS:Thoracic outlet syndrome  Sibson's fascia
 
引用本文,请按以下格式著录参考文献:
中文格式:田存平,王瑞庆,尹云生,张正之.Sibson筋膜导致胸廓出口综合症[J].中国骨伤,1997,10(3):6~7
英文格式:Tian Cunping,Wang Ruiqing,Yin Yunsheng.Thouracic Outlet Syndrome Induced by Sibson's Fascia[J].zhongguo gu shang / China J Orthop Trauma ,1997,10(3):6~7
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