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[目的]探讨保留与切断锁骨上皮神经治疗锁骨骨折的临床疗效.[方法] 2014年1月～2015年12月收治66例锁骨骨折患者,其中男42例,女性24例,均行手术治疗;随机分成两组,保留组术中游离保留锁骨上皮神经,切断组采取切断锁骨上皮神经的传统手术方式,术后随访观察对比两组肩部及胸外上部感觉的差异性及满意度.[结果] 36例保留组与30例切断组手术时间和术中出血量的比较差异无统计学意义(P＞0.05),术后第3d,36例保留组患者中23例(63.88％)存在麻木,30例切断组患者均存在麻木(100％),麻木程度和麻木意识在保留组和切断组的比较差异有统计学意义(P＜0.001);术后有效随访35例,保留组14侧,切断组21例.14例保留组的患者中3例(21.43％)存在麻木(P=0.019).21例切断组的患者中有13例(61.90％)存在麻木.在穿戴肩带(衣服或背包)时意识到麻木两种手术方式的比较差异有统计学意义(P=0.042).患者对术后带来的麻木感到厌烦,表示严重不满意.[结论]保留锁骨上皮神经治疗锁骨骨折,麻木程度明显减少,疗效确切,值得临床推广.“,”[Objective] To compare the clinical outcomes of open reduction and internal fixation (ORIF) for treatment of clavicle fracture with preservation versus disconnection of supraclavicular nerve.[Methods] From January 2014 to December 2015,66 patients with clavicle fractures underwent surgical treatment in our hospital,including 42 males and 24 females.Of them,36 patients had the supraclavicular nerve preserved during ORIF by releasing and protecting the supraclavicular nerve (the preservation group),whereas the other 30 patients received conventional ORIF with cutting off the supraclavicular nerve (the disconnection group).After operation,the sensation tested around shoulder the chest regions,and the subjective satisfaction asked were compared between the two groups.[Results] There was no significant difference in operation time and intraoperative blood loss between the two groups (P＞0.05).At 3 days after operation,numbness around incision happened in 23 patients (63.88％) of the preservation group,whereas 30 patients (100％) of the disconnection group.In addition,the extent of numbness and numbness awareness in the preservation group were considerably less than the disconnection group (P＜0.05).Of the 66 patients,35 patients were effectively followed up for 12 months,including 14 cases in the preservation group and 21 in the disconnection group.At the latest follow up,numbness occurred in 3/14 patients (21.43％) of the preservation group,while 13/21 patients (61.90％) of the disconnection group,associated with a significant difference (P=0.019).As wearing a shoulder strap (clothing or backpack),the numbness noted by himself or herself was significantly different between the two group (P=0.042).Moreover,subjective dissatisfaction to numbness in the preservation group reduced compared to that of the disconnection group despite no statistical difference between them (P=0.08).[Conclusion] Protection of supraclavicular nerve in treatment of the clavicular fracture does reduce the numbness extent obviously,improve the clinical outcome.