肩胛骨腹侧骨软骨瘤的手术入路探讨

Evaluation of Operative Approach to Osteochondroma on the Ventral Surface of the Scapula

目的探讨肩胛骨腹侧骨软骨瘤背侧手术入路的方法。 方法 11例肩胛骨腹侧骨软骨瘤患者 ,3例行肩胛骨内侧切口 ,8例行肩胛骨背侧切口 ,环型钻孔全层切除肩胛骨腹侧骨软骨瘤。 结果 3例肩胛骨内侧切口患者的肩带上提、下降、前屈和后伸活动度平均减少 5° ;8例背侧入路患者的肩带活动度均大于 19°。二类手术方式症状均缓解 ,经随访无肿瘤复发证据。 结论肩胛骨背侧钻孔入路是一种理想的手术入路。

Objective To evaluate the dorsal approach to osteochondroma on the ventral surface of the scapula. Methods Retrospective analyses reviewed of 11 patients with osteochondroma on the ventral surface of the scapula underwent different approaches were reviewed,including 3 via medial approach and 8 via dorsal approach . Results The postoperative movements of shoulder girdle with medial approach were limited averagely 5°.The postoperative movement of shoulder girdle with dorsal approach were averagely more than 19°. Conclusion Via dorsal approach to incise osteochondroma on the ventral surface is an ideal method.