血管型胸廓出口综合征图文ppt课件.pptVIP

乙方有义务提供相应的执业资格证、执业印章等配合甲方工程招投标、承担的工程项目报建及建设施工过程中各类手续办理。 胸廓出口综合征的诊断与腔内治疗进展概况 汤尧 胸廓出口综合征—— Thoracic outlet sydrome （TOS） Definition:Upper extremity symptoms due to compression of the neurovascular bundle by various structures in the area just above the first rib and behind the clavicle. Arterial TOS(ATOS) 1% Venous TOS(VOTS) Neurogenic TOS(NTOS) 90% --Richard J.Sanders (JOURNAL OF VASCULAR SURGERY 2007) Diagnose Etiology Cervical rib 1% population,70% are in women Anomalous first rib NTOS：Neck trauma，repetitive stress working VTOS：excessive activity with arm A