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高频超声联合MIPO技术在锁骨骨折中保留锁骨上神经的临床价值

通讯作者: 董文伟▲, dongwwlq@163.com
DOI:10.12201/bmr.202506.00083
声明:预印本系统所发表的论文仅用于最新科研成果的交流与共享,未经同行评议,因此不建议直接应用于指导临床实践。

Clinical value of high-frequency ultrasound combined with MIPO technique in preserving the supraclavicular nerve in clavicle fractures

Corresponding author: Dong Wenwei, dongwwlq@163.com
  • 摘要:目的 探讨高频超声联合微创钢板内固定术(Minimally Invasive Plate Osteosynthesis, MIPO)在锁骨骨折中保留锁骨上神经的临床价值。方法 选取2022年9月至2024年5月宁波大学附属第一医院诊治的锁骨中段骨折患者的60例。分为高频超声联合MIPO治疗的患者30例(微创切口组)与切开复位锁定钢板固定治疗的患者30例(传统切口组),对比两组围术期相关指标、VAS评分,Constant?Murley评分以及并发症发生情况。结果 所有患者均完成手术并随访6个月。微创切口组在骨痂形成时间,切口长度均低于传统切口组(P<0.05);微创切口组术后3月,术后6月Constant?Murley评分均高于传统切口组(P<0.05)。微创切口组术后2周,术后1月,术后3月皮肤感觉异常的发生率均低于传统切口组(P<0.05)。结论 高频超声联合MIPO技术与传统切开复位钢板内固定术相比,能够有效减少术中锁骨上神经的医源性损伤,减少术后皮肤感觉异常发生率,同时在肩部美观、肩关节功能以及骨折愈合方面也存在很大的优势,值得临床应用推广。

    关键词: 锁骨骨折,锁骨上神经,高频超声,微创钢板内固定术,皮肤感觉异常

     

    Abstract: Objective To explore the clinical value of high-frequency ultrasound combined with minimally invasive plate osteosynthesis (MIPO) in preserving the supraclavicular nerve in clavicle fractures. Methods Sixty patients with mid-clavicle fractures who were treated at the First Affiliated Hospital of Ningbo University from September 2022 to May 2024 were selected. They were divided into 30 patients treated with high-frequency ultrasound combined with MIPO (minimally invasive incision group) and 30 patients treated with open reduction and locking plate fixation (traditional incision group). The perioperative indicators, VAS score, Constant-Murley score, and complication occurrence were compared between the two groups. Results All patients completed the surgery and were followed up for 6 months. The bone call formation time and incision length in the minimally invasive incision group were lower than those in the traditional incision group (P < 0.05); the Constant-Murley scores at 3 months and 6 months after surgery in the minimally invasive incision group were higher than those in the traditional incision group (P < 0.05). The incidence of skin sensory abnormalities in the minimally invasive incision group at 2 weeks,1month, and 3 months after surgery was lower than that in the traditional incision group (P < 0.05). Conclusion Compared with traditional open reduction and plate internal fixation, the high-frequency ultrasound combined with MIPO technique can effectively reduce the iatrogenic injury of the supraclavicular nerve during surgery, reduce the incidence of postoperative skin sensory abnormalities, and also have significant advantages in terms of shoulder aesthetics, shoulder joint function, and fracture healing, and is worthy of clinical application and promotion.

    Key words: Clavicle; fracture, Supraclavicular; nerve, High-frequency; ultrasound, Minimally; Invasive Plate; Osteosynthesis, Cutaneous; paraesthesia

    提交时间:2025-06-30

    版权声明:作者本人独立拥有该论文的版权,预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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    1 2025-06-13

    bmr.202506.00083V1

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高佳凯, 董文伟▲. 高频超声联合MIPO技术在锁骨骨折中保留锁骨上神经的临床价值. 2025. biomedRxiv.202506.00083

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