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介绍和评价Woodward手术治疗先天性高肩胛症的情况,讨论2例发生臂丛神经损伤的教训。全组手术30例,男12例,女18例,术时年龄3~9岁19例,11~14岁11例。单纯先天性高肩肿症8例,伴有先天性脊柱侧凸者22例。2例术后出现臂丛神经损伤,经松解而恢复。14例同时做了锁骨粉碎术。所有病例均做了肩胛下移,达到外形改善。肩的外展功能大部分病例有所提高。Woodward手术治疗先天性高肩肿症与其他手术比较创伤小,出血少,操作简便,效果好。锁骨粉碎术有预防臂丛神经损伤的作用。
To introduce and evaluate Woodward’s surgical treatment of congenital high scapas, and to discuss 2 cases of brachial plexus injury. The whole group of surgery in 30 cases, 12 males and 18 females, 19 patients aged 3 to 9 years old, 11 to 14 years old in 11 cases. Simple congenital high shoulder swelling in 8 cases, with congenital scoliosis in 22 cases. 2 cases of brachial plexus injury occurred after the release and recovery. 14 cases also made clavicle smash. All cases were scapular down to achieve the appearance of improvement. Shoulder abduction function increased in most cases. Woodward Surgical Treatment of Congenital Shoulder Disease Compared with other operations, trauma, less bleeding, easy to operate, the effect is good. Clavicle smash can prevent brachial plexus injury.