ЗНАЧИМОСТЬ ЭЛЕКТРОНЕЙРОМИОГРАФИИ И СПИРАЛЬНОЙ КОМПЬЮТЕРНОЙ ТОМОГРАФИИ В ДИАГНОСТИКЕ И ХИРУРГИЧЕСКОМ ЛЕЧЕНИИ СИНДРОМА ШЕЙНОГО РЕБРА

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.