· Kev Siv Anatomy
Tag nrho qhov ntev ntawm clavicle yog subcutaneous thiab yooj yim rau pom. Qhov kawg medial lossis sternal kawg ntawm clavicle yog ntxhib, nrog nws qhov chaw sib koom ua ke tig mus rau sab hauv thiab nqis mus, tsim cov pob qij txha sternoclavicular nrog clavicular notch ntawm sternal kov; qhov kawg sab nraud lossis acromion kawg yog ntxhib thiab tiaj tus thiab dav, nrog nws cov acromion articular nto ovoid thiab sab nraud thiab nqis mus, tsim cov pob qij txha acromioclavicular nrog acromion. Lub clavicle yog tiaj tus saum toj no thiab bluntly puag ncig hauv nruab nrab ntawm lub npoo pem hauv ntej. Muaj qhov ntxhib indentation ntawm costoclavicular ligament ntawm sab medial hauv qab no, qhov twg costoclavicular ligament txuas. Lateral rau hauv qab muaj ib tug conical node thiab oblique kab nrog lub conical ligament ntawm rostroclavicular ligament thiab oblique ligament txuas, feem.
· Cov cim qhia
1. Pob txha caj qaum tawg uas xav tau kev phais thiab kev kho kom zoo sab hauv.
2. Mob pob txha osteomyelitis lossis mob ntsws ntawm clavicle yuav tsum tau tshem cov pob txha tuag.
3. Mob qog ntawm lub pob qij txha caj qaum yuav tsum tau phais.
· Qhov chaw ntawm lub cev
Txoj hauj lwm supine, nrog lub xub pwg me ntsis siab.
Cov kauj ruam
1. Ua ib qho kev phais raws li tus qauv S-puab ntawm lub clavicle, thiab txuas qhov kev phais raws ntug sab saud ntawm lub clavicle mus rau sab hauv thiab sab nraud nrog qhov chaw ntawm qhov mob ua ib qho cim, thiab qhov chaw thiab qhov ntev ntawm qhov kev phais yuav raug txiav txim siab raws li qhov mob thiab qhov yuav tsum tau phais (Daim Duab 7-1-1(1)).
Daim Duab 7-1-1 Txoj Kev Qhia Txog Anterior Clavicular
2. Txiav daim tawv nqaij, cov nqaij mos hauv qab daim tawv nqaij thiab cov fascia tob raws qhov txiav thiab tso daim tawv nqaij kom ncaj thiab ncaj raws li qhov tsim nyog (Daim Duab 7-1-1(2)).
3. Txiav cov leeg nqaij vastus cervicis mus rau sab saud ntawm clavicle, cov leeg nqaij muaj cov hlab ntsha ntau, xyuam xim rau electrocoagulation. Lub periosteum raug txiav raws ntug pob txha rau kev txiav subperiosteal, nrog rau sternocleidomastoid clavicle nyob rau sab hauv sab saud, pectoralis major clavicle nyob rau sab hauv qis, cov leeg nqaij trapezius nyob rau sab nraud sab saud, thiab cov leeg nqaij deltoid nyob rau sab nraud qis. Thaum tshem cov posterior subclavian, qhov kev tshem tawm yuav tsum ua kom nruj rau ntawm qhov pob txha, thiab lub stripper tswj yuav tsum ruaj khov kom tsis txhob ua rau cov hlab ntsha, cov hlab ntsha, thiab pleura ntawm posterior clavicle puas tsuaj (Daim Duab 7-1-2). Yog tias nws raug pom zoo kom siv lub ntsia hlau kho ntawm lub phaj, cov nqaij mos nyob ib puag ncig clavicle raug tiv thaiv ua ntej nrog lub periosteal stripper, thiab lub qhov tho qhov yuav tsum tau taw qhia rau pem hauv ntej, tsis yog posteriorly downward, kom tsis txhob ua rau pleura thiab cov hlab ntsha subclavian raug mob.
Daim Duab 7-1-2 Qhia Txog Clavicle
Lub sijhawm tshaj tawm: Kaum Ib Hlis-21-2023
