肩胛骨矫形术治疗先天性高肩胛症  

Treatment for congenital elevated scapula

作　　者：张自明[1] 王晓林[1] 杨璇[1] 沈品泉[1] 陈珽[1] 

机构地区：[1]上海第二医科大学附属新华医院上海儿童医学中心小儿骨科,200092

出　　处：《中华小儿外科杂志》2003年第1期29-31,共3页Chinese Journal of Pediatric Surgery

摘　　要：目的　探讨先天性高肩胛症的手术治疗。方法　采用肩胛骨部分切除矫形治疗先天性高肩胛症患儿 2 6例 (2 7肩 ) ,随访平均 3 .9年 ,最长时间达 7年。结果　术前患肢外展上举平均 1 1 3°,术后平均改善为 1 4 5° ,多数患儿的学习生活功能不受影响。Objective To review the surgical management of Sprengel's deformity.Methods Twenty six patients (27 scapulas) were treated with partial resection of the scapula, with or without the resection of the connection between the scapula and spine. They were followed up on average for 3.9 years (maximum: 7 years). Comparison was made on the change of range of movement (ROM) of the shoulder joint. Results The functions of most patients were improved. The range of abduction and elevation improved from 113.52° ± 27.80° to 145.56° ± 16.43° (average 32°),except satisfactory results could not be achieved in 2 patients. No recurrence or injury to brachial plexus was encountered.Conclusion The method mentioned in this paper is a safe and efficient operation and could produce satisfactory results in Sprengel's deformity.

关 键 词：肩胛骨矫形术 先天性高肩胛症 治疗 

分 类 号：R726.8[医药卫生—儿科]