{"id":2269,"date":"2025-08-28T11:42:13","date_gmt":"2025-08-28T02:42:13","guid":{"rendered":"https:\/\/iyujournal.co.kr\/?p=2269"},"modified":"2025-08-28T11:42:13","modified_gmt":"2025-08-28T02:42:13","slug":"%ed%9d%89%ea%b3%bd%ec%b6%9c%ea%b5%ac%ec%a6%9d%ed%9b%84%ea%b5%b0%ec%9d%98-%eb%9c%bb%ea%b3%bc-%ec%84%a4%eb%aa%85","status":"publish","type":"post","link":"https:\/\/iyujournal.co.kr\/?p=2269","title":{"rendered":"\ud749\uacfd\ucd9c\uad6c\uc99d\ud6c4\uad70\uc758 \ub73b\uacfc \uc124\uba85"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-2270\" src=\"http:\/\/iyujournal.co.kr\/wp-content\/uploads\/sites\/715\/2025\/08\/G-300x282.jpg\" alt=\"\" width=\"300\" height=\"282\" srcset=\"https:\/\/iyujournal.co.kr\/wp-content\/uploads\/sites\/715\/2025\/08\/G-300x282.jpg 300w, https:\/\/iyujournal.co.kr\/wp-content\/uploads\/sites\/715\/2025\/08\/G-447x420.jpg 447w, https:\/\/iyujournal.co.kr\/wp-content\/uploads\/sites\/715\/2025\/08\/G.jpg 592w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<div>\ubaa9\uacfc \uc5b4\uae68 \uc0ac\uc774\uac00 \ud56d\uc0c1 \ubb35\uc9c1\ud558\uace0 \ubed0\uadfc\ud55c \ub290\ub08c\uc774 \ub4e0\ub2e4\uba74? \ud314\uc774\ub098 \uc190\uc774 \uc790\uc8fc \uc800\ub9ac\uac70\ub098, \ud798\uc774 \ube60\uc9c0\ub294 \uacbd\ud5d8\uc774 \ubc18\ubcf5\ub41c\ub2e4\uba74? \uadf8 \uc99d\uc0c1\uc758 \uc815\uccb4\ub294 \ub2e8\uc21c\ud55c \ud53c\ub85c\ub098 \ub2f4\uc774 \uc544\ub2cc, &#8216;\ud749\uacfd\ucd9c\uad6c\uc99d\ud6c4\uad70(Thoracic Outlet Syndrome)\u2019\uc77c \uc218 \uc788\ub2e4. \ud749\uacfd\ucd9c\uad6c\uc99d\ud6c4\uad70\uc740 \uc0dd\uc18c\ud560 \uc218 \uc788\uc9c0\ub9cc, \uc2e4\uc81c\ub85c \uc6b4\ub3d9\uc120\uc218, \uc7a5\uc2dc\uac04 \ucef4\ud4e8\ud130\ub97c \uc0ac\uc6a9\ud558\ub294 \uc9c1\uc7a5\uc778, \uadf8\ub9ac\uace0 \ud2b9\ud788 \uc5ec\uc131\ub4e4\uc5d0\uac8c \uc0c1\ub300\uc801\uc73c\ub85c \ud754\ud558\uac8c \ubc1c\uc0dd\ud560 \uc218 \uc788\ub294 \uc2e0\uacbd\u00b7\ud608\uad00 \uc555\ubc15 \uc99d\ud6c4\uad70\uc774\ub2e4. \ud749\uacfd\ucd9c\uad6c\u2019\ub294 \uc6b0\ub9ac \ubab8\uc5d0\uc11c \ubaa9\uacfc \uc5b4\uae68 \uc0ac\uc774, \uc989 \uccab \ubc88\uc9f8 \uac08\ube44\ubf08\uc640 \uc1c4\uace8 \uc0ac\uc774\uc758 \uc881\uc740 \uacf5\uac04\uc744 \ub9d0\ud55c\ub2e4. \uc774 \uacf5\uac04\uc740 \ud314\ub85c \uac00\ub294 \uc8fc\uc694 \uc2e0\uacbd(\uc0c1\uc644\uc2e0\uacbd\ucd1d), \uc815\ub9e5(\uc1c4\uace8\ud558\uc815\ub9e5), \ub3d9\ub9e5(\uc1c4\uace8\ud558\ub3d9\ub9e5)\uc774 \uc9c0\ub098\uac00\ub294 \ud1b5\ub85c\uc774\ub2e4. \uc774 \uc881\uc740 \uacf5\uac04\uc774 \uadfc\uc721, \uc778\ub300, \ubf08, \uc790\uc138\uc758 \uc774\uc0c1 \ub4f1\uc5d0 \uc758\ud574 \uc881\uc544\uc9c0\uba74, \uc774 \uacbd\ub85c\ub97c \uc9c0\ub098\ub294 \uc2e0\uacbd\uc774\ub098 \ud608\uad00\uc774 \uc555\ubc15\ub418\uc5b4 \ub2e4\uc591\ud55c \uc99d\uc0c1\uc774 \ub098\ud0c0\ub098\ub294 \uac83\uc774\ub2e4. \uc774\uac83\uc774 \ubc14\ub85c \ud749\uacfd\ucd9c\uad6c\uc99d\ud6c4\uad70(TOS)\uc774\ub2e4. TOS\ub294 \uc555\ubc15\ub418\ub294 \uad6c\uc870\ubb3c\uc5d0 \ub530\ub77c \ub2e4\uc74c\uacfc \uac19\uc774 \ubd84\ub958\ub41c\ub2e4. 1. \uc2e0\uacbd\uc131 TOS (Neurogenic TOS) \uac00\uc7a5 \ud754\ud55c \ud615\ud0dc (\uc804\uccb4\uc758 \uc57d 90%)\u2192 \uc0c1\uc644\uc2e0\uacbd\ucd1d\uc774 \uc555\ubc15\ub418\uc5b4 \uc0dd\uae40\u2192 \ud314, \uc190, \uc5b4\uae68\uc758 \uc800\ub9bc, \ud1b5\uc99d, \uac10\uac01 \uc774\uc0c1, \uadfc\ub825 \uc800\ud558 \ub4f1 \ubc1c\uc0dd<\/div>\n<div>\uc815\ub9e5\uc131 TOS (Venous TOS)\u2192 \uc1c4\uace8\ud558\uc815\ub9e5\uc774 \uc555\ubc15\ub428\u2192 \ud314\uc774 \ubd93\uace0, \ubb34\uac81\uace0, \ud478\ub974\uc2a4\ub984\ud558\uac8c \ubcc0\ud568. \uc815\ub9e5\ud608\ub958 \uc815\uccb4 3. \ub3d9\ub9e5\uc131 TOS (Arterial TOS) \uac00\uc7a5 \ub4dc\ubb38 \ud615\ud0dc (\uc57d 1~2%)\u2192 \uc1c4\uace8\ud558\ub3d9\ub9e5\uc774 \uc555\ubc15\ub428\u2192 \uc190\uc758 \uc0c9 \ubcc0\ud654(\ucc3d\ubc31), \ub9e5\ubc15 \uc57d\ud654, \uc2ec\ud55c \uacbd\uc6b0 \uad34\uc0ac \uac00\ub2a5 \ud749\uacfd\ucd9c\uad6c\uc99d\ud6c4\uad70\uc740 \uc99d\uc0c1\uc774 \uad11\ubc94\uc704\ud558\uace0 \ube44\ud2b9\uc774\uc801\uc774\ub77c, \uc885\uc885 \uc624\uc9c4\ub418\uac70\ub098 \uac04\uacfc\ub418\uae30 \uc27d\ub2e4. \ub300\ud45c\uc801\uc778 \uc99d\uc0c1\uc740 \ub2e4\uc74c\uacfc \uac19\ub2e4. \ud314, \uc190, \uc5b4\uae68, \ubaa9 \uc8fc\ubcc0\uc758 \uc800\ub9bc \ub610\ub294 \ucc0c\ub9bf\ud55c \uac10\uac01\ud314\uc774 \ubb34\uac70\uc6cc\uc9c0\uace0 \uc27d\uac8c \ud53c\ub85c\ud568, \uc190\uc758 \ud798\uc774 \ube60\uc9c0\uac70\ub098 \ubb3c\uac74\uc744 \uc790\uc8fc \ub5a8\uc5b4\ub728\ub9bc, \ud2b9\uc815 \uc790\uc138\uc5d0\uc11c \uc99d\uc0c1 \uc545\ud654(\uc608: \ud314\uc744 \ub4e4\uac70\ub098 \ubaa9\uc744 \ub3cc\ub9b4 \ub54c),\ud314, \uc190\uc758 \uc0c9 \ubcc0\ud654, \ub0c9\uac10 (\ud608\uad00\ud615 TOS), \uba38\ub9ac\ub098 \ub208\uc758 \ud1b5\uc99d, \uc5b4\uc9c0\ub7ec\uc6c0 (\uc2e0\uacbd \uc555\ubc15\uc5d0 \uc758\ud55c \uc774\ucc28\uc801 \uc99d\uc0c1) \ucd08\uae30\uc5d0\ub294 \ub2e8\uc21c\ud55c \ud53c\ub85c\uac10, \uadfc\uc721\ud1b5\uc73c\ub85c \uc624\uc778\ub418\uc9c0\ub9cc, \uc99d\uc0c1\uc774 \ub9cc\uc131\ud654\ub418\uba74 \uc77c\uc0c1\uc0dd\ud65c\uc5d0 \uc9c0\uc7a5\uc744 \uc904 \uc815\ub3c4\ub85c \uc545\ud654\ub420 \uc218 \uc788\ub2e4. \ud749\uacfd\ucd9c\uad6c\uc758 \uad6c\uc870\uc801, \uae30\ub2a5\uc801 \uc774\uc0c1\uc73c\ub85c \uc778\ud55c \uc555\ubc15\uc774 \uc6d0\uc778\uc774\ub2e4. \ub300\ud45c\uc801\uc778 \uc694\uc778\uc740 \ub2e4\uc74c\uacfc \uac19\ub2e4.\uc798\ubabb\ub41c \uc790\uc138:\uace0\uac1c\ub97c \uc55e\uc73c\ub85c \ub0b4\ubbf8\ub294 \uc790\uc138(Forward Head), \ub465\uadfc \uc5b4\uae68 \uc790\uc138 \ub4f1,\uacfc\uc0ac\uc6a9 \uc99d\ud6c4\uad70:\uc7a5\uc2dc\uac04 \ud0a4\ubcf4\ub4dc\/\ub9c8\uc6b0\uc2a4 \uc0ac\uc6a9, \uc2a4\ub9c8\ud2b8\ud3f0 \uc0ac\uc6a9, \ubb34\uac70\uc6b4 \ubb3c\uac74 \ubc18\ubcf5\uc801 \uc0ac\uc6a9, \uc678\uc0c1 \ubc0f \uace8\uc808 \ud6c4\uc720\uc99d:\uad50\ud1b5\uc0ac\uace0, \uc1c4\uace8 \uace8\uc808, \uc5b4\uae68 \ud0c8\uad6c \ub4f1, \uae30\ud615\uc801 \ud574\ubd80\ud559 \uad6c\uc870: \uacbd\ub291\uace8(\ubaa9\uc5d0\uc11c \uc790\ub77c\ub294 \ucd94\uac00 \uac08\ube44\ubf08), \uc12c\uc720\ub760, \uacfc\ub3c4\ud55c \uadfc\uc721 \ubc1c\ub2ec, \uc2a4\ud3ec\uce20 \ud65c\ub3d9: \uc218\uc601, \uc57c\uad6c, \ud14c\ub2c8\uc2a4 \ub4f1 \uc5b4\uae68\ub97c \ub9ce\uc774 \uc0ac\uc6a9\ud558\ub294 \uc6b4\ub3d9 \ub4f1\uc774 \uc788\ub2e4. \ud749\uacfd\ucd9c\uad6c\uc99d\ud6c4\uad70\uc740 \uba85\ud655\ud55c \ud55c \uac00\uc9c0 \uac80\uc0ac\ub85c \uc9c4\ub2e8\ud558\uae30 \uc5b4\ub824\uc6b0\uba70, \ubcd1\ub825 \uccad\ucde8 + \uc2e0\uccb4\uac80\uc0ac + \uc601\uc0c1\uac80\uc0ac\ub97c \uc885\ud569\uc801\uc73c\ub85c \uace0\ub824\ud574\uc57c \ud55c\ub2e4. 1. \ubb38\uc9c4 \ubc0f \uc774\ud559\uc801 \uac80\uc0ac-\ud314\uc744 \ub4e4\uc5b4 \uc62c\ub9b4 \ub54c \ud1b5\uc99d\uc774 \uc0dd\uae30\uac70\ub098 \uc190\uc758 \ub9e5\ubc15\uc774 \uc57d\ud574\uc9c0\ub294\uc9c0 \ud655\uc778, Roos test, Adson test, Wright test \ub4f1 \uc9c4\ub2e8\uc801 \uc6c0\uc9c1\uc784 \ud14c\uc2a4\ud2b8 \uc0ac\uc6a9\ud55c\ub2e4. \ub450\ubc88\uc9f8\ub85c\ub294 \uc601\uc0c1 \uac80\uc0ac, X-ray: \uacbd\ub291\uace8\uc774\ub098 \uace8\uaca9 \uc774\uc0c1 \ud655\uc778, MRI\/CT: \uc2e0\uacbd\/\ud608\uad00 \uc555\ubc15 \uc5ec\ubd80 \ud655\uc778, \uadfc\uc804\ub3c4(EMG): \uc2e0\uacbd\uc758 \uc190\uc0c1 \uc5ec\ubd80 \ud3c9\uac00, \ub3c4\ud50c\ub7ec \ucd08\uc74c\ud30c: \ud608\uad00\uc758 \ud750\ub984 \ud3c9\uac00\ub97c \ud55c\ub2e4. \uce58\ub8cc\ub294 \uc99d\uc0c1\uc758 \uc2ec\uac01\ub3c4, \uc6d0\uc778, \uc555\ubc15 \ubd80\uc704\uc5d0 \ub530\ub77c \ub2ec\ub77c\uc9c0\uba70, \ubcf4\uc874\uc801 \uce58\ub8cc \u2192 \uc218\uc220\uc801 \uce58\ub8cc \uc21c\uc73c\ub85c \uc811\uadfc\ud55c\ub2e4. 1. \ubcf4\uc874\uc801 \uce58\ub8cc (\ube44\uc218\uc220\uc801) \uc790\uc138 \uad50\uc815 \ubc0f \ubb3c\ub9ac\uce58\ub8cc\ub97c \ud55c\ub2e4. \uac70\ubd81\ubaa9, \uc5b4\uae68 \ub9d0\ub9bc \ub4f1 \uad50\uc815, \ud749\uacfd \uc8fc\ubcc0\uc758 \uae34\uc7a5\ub41c \uadfc\uc721(\uc0ac\uac01\uadfc, \ub300\ud749\uadfc) \uc774\uc644, \uc2e0\uacbd \ubc0f \ud608\uad00 \uacf5\uac04 \ud655\ubcf4\ub97c \uc704\ud55c \uc2a4\ud2b8\ub808\uce6d, \uadfc\ub825\uc6b4\ub3d9\uc744 \ud55c\ub2e4. \uc57d\ubb3c\uce58\ub8cc, \uc9c4\ud1b5\uc81c(NSAIDs), \uadfc\uc721\uc774\uc644\uc81c, \uc2e0\uacbd\ud1b5 \uc644\ud654\uc81c(\uac00\ubc14\ud39c\ud2f4 \ub4f1) \u00a0\ub3c4\uc218\uce58\ub8cc \/ \uccb4\ud615\uad50\uc815 \/ \uc790\uc138\uc6b4\ub3d9 (\ud544\ub77c\ud14c\uc2a4, \ub3c4\uc218 \ubb3c\ub9ac\uce58\ub8cc \ub4f1) \uae30\ub2a5\uc131 \ud749\uacfd \ucd9c\uad6c\uc99d\ud6c4\uad70 \ud658\uc790\uc5d0\uac8c \ud2b9\ud788 \ud6a8\uacfc\uc801\uc774\ub77c\uace0 \ud55c\ub2e4. \ubcf4\uc874\uc801 \uce58\ub8cc\uc5d0\ub3c4 \ud6a8\uacfc\uac00 \uc5c6\uac70\ub098, \ud608\uad00 \uc555\ubc15\uc73c\ub85c \uc778\ud55c \uc190\uc0c1 \uc704\ud5d8\uc774 \ud074 \uacbd\uc6b0 \uc218\uc220\uc774 \uace0\ub824\ub41c\ub2e4. \uc218\uc220\uc740 \uc2e0\uc911\ud558\uac8c \uc811\uadfc\ud574\uc57c \ud558\uba70, \uc815\ud615\uc678\uacfc, \uc2e0\uacbd\uc678\uacfc, \ud608\uad00\uc678\uacfc \ub4f1 \ub2e4\ud559\uc81c \uc9c4\ub8cc\uac00 \uad8c\uc7a5\ub41c\ub2e4. \ud749\uacfd\ucd9c\uad6c\uc99d\ud6c4\uad70\uc740 \uc774\ub984\ub3c4 \uc0dd\uc18c\ud558\uace0 \uc99d\uc0c1\ub3c4 \uc560\ub9e4\ud574 \ubcf4\uc77c \uc218 \uc788\uc9c0\ub9cc,\ubc29\uce58\ud560 \uacbd\uc6b0 \ub9cc\uc131\ud1b5\uc99d, \uadfc\uc704\ucd95, \ud608\uad00 \uc190\uc0c1 \ub4f1\uc73c\ub85c \uc774\uc5b4\uc9c8 \uc218 \uc788\ub294 \uc9c8\ud658\uc774\ub2e4. \ubb34\uc2ec\ucf54 \ub118\uacbc\ub358 \ud314\uc758 \uc800\ub9bc, \uc5b4\uae68\uc758 \ubed0\uadfc\ud568, \uc190\uc758 \ucc28\uac00\uc6c0\uc774 \ubc18\ubcf5\ub41c\ub2e4\uba74, \ub2e8\uc21c\ud55c \ud53c\ub85c\ub098 \uc77c\uc2dc\uc801 \uc99d\uc0c1\uc73c\ub85c \uce58\ubd80\ud558\uc9c0 \ub9d0\uace0, \uc804\ubb38\uac00\uc758 \uc9c4\ub2e8\uacfc \uc801\uc808\ud55c \uce58\ub8cc\ub97c \ud1b5\ud574 \uc2e0\uacbd\uacfc \ud608\uad00\uc774 \uc228 \uc274 \uc218 \uc788\ub294 \uacf5\uac04\uc744 \ub9cc\ub4e4\uc5b4 \uc8fc\uc5b4\uc57c \ud55c\ub2e4.<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\ubaa9\uacfc \uc5b4\uae68 \uc0ac\uc774\uac00 \ud56d\uc0c1 \ubb35\uc9c1\ud558\uace0 \ubed0\uadfc\ud55c \ub290\ub08c\uc774 \ub4e0\ub2e4\uba74? \ud314\uc774\ub098 \uc190\uc774 \uc790\uc8fc \uc800\ub9ac\uac70\ub098, \ud798\uc774 \ube60\uc9c0\ub294 \uacbd\ud5d8\uc774 \ubc18\ubcf5\ub41c\ub2e4\uba74? \uadf8 \uc99d\uc0c1\uc758 \uc815\uccb4\ub294 \ub2e8\uc21c\ud55c \ud53c\ub85c\ub098 \ub2f4\uc774 \uc544\ub2cc, &#8216;\ud749\uacfd\ucd9c\uad6c\uc99d\ud6c4\uad70(Thoracic Outlet Syndrome)\u2019\uc77c \uc218 \uc788\ub2e4. \ud749\uacfd\ucd9c\uad6c\uc99d\ud6c4\uad70\uc740 \uc0dd\uc18c\ud560 \uc218 \uc788\uc9c0\ub9cc, \uc2e4\uc81c\ub85c \uc6b4\ub3d9\uc120\uc218, \uc7a5\uc2dc\uac04 \ucef4\ud4e8\ud130\ub97c \uc0ac\uc6a9\ud558\ub294 \uc9c1\uc7a5\uc778, \uadf8\ub9ac\uace0 \ud2b9\ud788 \uc5ec\uc131\ub4e4\uc5d0\uac8c \uc0c1\ub300\uc801\uc73c\ub85c \ud754\ud558\uac8c \ubc1c\uc0dd\ud560 \uc218 \uc788\ub294 \uc2e0\uacbd\u00b7\ud608\uad00 \uc555\ubc15 \uc99d\ud6c4\uad70\uc774\ub2e4. \ud749\uacfd\ucd9c\uad6c\u2019\ub294 \uc6b0\ub9ac \ubab8\uc5d0\uc11c \ubaa9\uacfc \uc5b4\uae68 \uc0ac\uc774, [&hellip;]<\/p>\n","protected":false},"author":344,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3,14,1,40,39,20],"tags":[],"class_list":["post-2269","post","type-post","status-publish","format-standard","hentry","category-3","category-14","category-1","category-40","category-39","category-20"],"_links":{"self":[{"href":"https:\/\/iyujournal.co.kr\/index.php?rest_route=\/wp\/v2\/posts\/2269","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/iyujournal.co.kr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/iyujournal.co.kr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/iyujournal.co.kr\/index.php?rest_route=\/wp\/v2\/users\/344"}],"replies":[{"embeddable":true,"href":"https:\/\/iyujournal.co.kr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2269"}],"version-history":[{"count":1,"href":"https:\/\/iyujournal.co.kr\/index.php?rest_route=\/wp\/v2\/posts\/2269\/revisions"}],"predecessor-version":[{"id":2271,"href":"https:\/\/iyujournal.co.kr\/index.php?rest_route=\/wp\/v2\/posts\/2269\/revisions\/2271"}],"wp:attachment":[{"href":"https:\/\/iyujournal.co.kr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2269"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/iyujournal.co.kr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2269"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/iyujournal.co.kr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2269"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}