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[腋-锁骨下损伤。基于11例病例。手术相关问题]

[Axillary-subclavian injuries. Apropos of 11 cases. Procedural problems].

作者信息

Magne J L, Meaulle P Y, Bouchet C, Fauvage B, Guidicelli H

出版信息

J Mal Vasc. 1983;8(2):153-6.

PMID:6875396
Abstract

Tactical problems raised by treatment of injuries involving the axillary-subclavicular region were studied by analysis of 11 cases treated in a Grenoble hospital since 1975. The majority of patients had multiple injuries, and it was possible to perform pre-operative angiography in all cases. Lesions involving the mobile post-vertebral segment of the subclavian artery were treated by pre-sternocleidomastoid cervicotomy through a deltopectoral approach enlarged in L. Functional prognosis was related to the frequency and severity of associated neurological lesions.

摘要

通过对1975年以来在格勒诺布尔一家医院治疗的11例涉及腋-锁骨下区域损伤的病例进行分析,研究了此类损伤治疗中出现的战术问题。大多数患者有多处损伤,且所有病例均可行术前血管造影。累及锁骨下动脉活动的椎后段的病变,通过经胸锁乳突肌前颈切开术,经扩大的L形三角肌胸大肌入路进行治疗。功能预后与相关神经损伤的频率和严重程度有关。

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