SIGNIFICANCE OF ELECTRONEUROMYOGRAPHY AND SPIRAL COMPUTED TOMOGRAPHY IN DIAGNOSTICS AND SURGICAL TREATMENT OF CERVICAL RIB SYNDROME
https://doi.org/10.34822/2304-9448-2021-2-48-55
Abstract
The study aims to assess the significance of the results of electroneuromyography and spiral computed tomography in the diagnostics and surgical treatment of cervical rib syndrome. Material and methods. The analysis of examination and surgical treatment of 72 patients, aged 16 to 46 years, operated for cervical rib syndrome for the period 2013–2019 is carried out. Results. In patients of group I (n = 48), the following postoperative complications were found: brachioplexitis in 16.7% (n = 8) of cases, phrenic nerve injury in 4.1% (n = 2) of cases, hemothorax and pneumothorax in two (4.1%) patients. Patients of group II (n = 24) additionally underwent electroneuromyography and spiral computed tomography for selection of the optimal surgical approach, which made it possible to reduce the incidence of early postoperative complications. It was possible to eliminate anomalies of the scalene muscles in 58% (n = 14) of cases; fibrous cords compressing the neurovascular bundle in 42% (n = 10) of cases. Brachioplexitis was observed in 4.2% of cases, which is less than in group I. There were no other complications in group II, as well as deaths in both groups.
About the Authors
F. R. Rafiev
Republican Scientific Center for Cardiovascular Surgery, Dushanbe
Tajikistan
Tajikistan
Candidate
Е-mail: rafiev-fr@mail.ru
D. D. Sultanov
Avicenna Tajik Medical University, Dushanbe
Tajikistan
Tajikistan
Laureate of the State Prize named after Abuali ibni Sino, Doctor of Sciences (Medicine), Professor of the Surgical Diseases Department № 2
Е-mail: sultanov57@mail.ru
J. A. Rakhmonov
Republican Scientific Center for Cardiovascular Surgery, Dushanbe
Tajikistan
Tajikistan
Doctoral Candidate
Е-mail: jama-7878@mail.ru
A. N. Kamolov
Avicenna Tajik Medical University, Dushanbe
Tajikistan
Tajikistan
Candidate of Sciences (Medicine), Assistant Professor, Surgical Diseases Department № 2
Е-mail: rafiev-fr@mail.ru
M. S. Saidov
Republican Scientific Center for Cardiovascular Surgery, Dushanbe
Russian Federation
Russian Federation
Researcher
Е-mail: mahmad_jon1974@mail.ru
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Review
For citations:
Rafiev F.R., Sultanov D.D., Rakhmonov J.A., Kamolov A.N., Saidov M.S. SIGNIFICANCE OF ELECTRONEUROMYOGRAPHY AND SPIRAL COMPUTED TOMOGRAPHY IN DIAGNOSTICS AND SURGICAL TREATMENT OF CERVICAL RIB SYNDROME. Vestnik SurGU. Meditsina. 2021;(2 (48)):48-55. (In Russ.) https://doi.org/10.34822/2304-9448-2021-2-48-55
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