【作者】 黄志丹；

【导师】 陈中；

【作者基本信息】 浙江大学 ， 骨科学， 2011， 硕士

【摘要】 目的：探讨锁骨上窝多处伤的诊断与治疗方法。方法：10例创伤致锁骨上窝多处伤,9例有臂丛神经损伤,3例伴锁骨下血管损伤；10例均行骨折切复内固定术；9例行臂丛神经探查松解术；1例行锁骨下动静脉结扎,1例行锁骨下动脉取栓术,1例行锁骨下动脉切开取栓、大隐静脉移植术；结果：本组10例,均得随访,随访时间10月～9年,平均2.5年,骨折均已愈合；血管检查结果：9例桡动脉可及,1例锁骨下动脉已结扎；神经功能参照中华医学会手外科学会臂丛功能综合评价试用标准[7],结果：优3良2可3差2。结论：锁骨上窝多处伤早期诊断明确,尽早手术疗效好。更多还原

【Abstract】 Objective:The injury mechanisms, clinical manifestation, diagnosis, treatment of supraclavicular fosse multiple injuries. Methods:10 acute trauma cases were involved in this series.10 cases had clavicle fracture. Brachial plexus injury was seen in 9 cases. Injuries of the sub clavicle vessels (vessel rupture, artero-venous fistula) were found in 3 cases. Surgical exploration was carried out in 9 cases. Repair of the ruptured vessels was done in 2 cases, while another 1 was managed with vessel ligation. Results: Postoperatively the patients were followed for an average of 30 months. All fractures were healed.9 patients had strong pulsation at the radial artery of the affected side. Assessment of the upper limb function using the standard issued by the Hand Surgery Society of Chinese Medical Association graded 3 cases as excellent 2cases as good 3cases as fair and 2 cases as bad. Conclusion:when you can make a clear diagnosis of supraclavicular fosse multiple injuries, early surgical intervention can lead to satisfactory results.更多还原