摘要
目的探讨手术治疗及术后康复锻炼对年龄>8岁先天性高肩胛症患者的治疗效果。方法治疗年龄>8岁先天性高肩胛症患者12例,手术年龄平均15.1岁,最大26岁,所有病例全部伴发其他系统畸形,主要以脊柱、肋骨畸形为主,全部采用改良Woodward术式并结合术后康复锻炼。结果获成功随访12例,平均随访3.5年,平均肩胛下移2.9 cm,所有病例均未合并臂丛神经损伤。结论改良Woodward术式结合术后早期、长期、循序渐进的康复锻炼,操作简单,合并臂丛神经损伤少,术后外观与功能改善满意,是8岁以上先天性高肩胛症患者的一种较好的治疗方法。
Objective To investigate the effect of operation and rehabilitation for congenital undeseended scapula over 8 years old. Methods 12 cases of congenital undescended scapula over 8 years old were treated by Modified Woodward operation and re- habilitation procedures.. The average age at the operation was 15.1 years.The oldest one was 26 years.All the patients had other associated abnormalities.Most accompanied abnormalities were spinal column and ribs deformities. Results 12patients were suc- cessfully followed up.The average follow-up period after operation was 3.5 yeas.The average scapular lowered was 2.9cm.No one had complicated of brachial plexus injury. Conclusion Modified Woodward operation and early,long-term,step-by-step rehabilita- tion procedures is better way for congenital undescended scapula over 8 years old..It is simple and efficient with less injury of brachial plexus.
出处
《中外医疗》
2013年第14期32-34,共3页
China & Foreign Medical Treatment
关键词
先天性高肩症
矫形
康复
改良Woodward
Congenital undescended scapula
Orthopedic
Rehabilitation
Modified Woodward
