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胸肩胛融合术治疗面肩肱型肌营养不良症。

Thoracoscapular fusion for facioscapulohumeral dystrophy.

作者信息

Copeland S A, Howard R C

出版信息

J Bone Joint Surg Br. 1978 Nov;60-B(4):547-51. doi: 10.1302/0301-620X.60B4.711807.

DOI:10.1302/0301-620X.60B4.711807
PMID:711807
Abstract

Eleven thoracoscapular fusion operations have been done on six patients. The indication is symptomatic winging of the scapula caused by thoracoscapular muscle paresis with intact function in the deltoid. This situation almost exclusively occurs in facioscapulohumeral dystrophy. The operation is successful in achieving stability of the scapula and in greatly improving function and cosmesis. Although the course of this type of muscular dystrophy is variable, the benefits of operation have not deteriorated with progression of the disease over a maximum follow-up period of twenty-three years.

摘要

已对6例患者进行了11次胸肩胛融合手术。适应症为三角肌功能完好,但胸肩胛肌无力导致的有症状的肩胛翼状畸形。这种情况几乎仅发生在面肩肱型肌营养不良症中。该手术成功实现了肩胛骨的稳定,并极大地改善了功能和美观。尽管这种类型的肌营养不良症病程多变,但在长达23年的最长随访期内,手术效果并未因疾病进展而恶化。

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