锁骨

Esophageal carcinoma Supraclavicular lymph node metastasis Surgical treatment

食管癌；锁骨上淋巴结转移；外科治疗

Methods: 68 cases of primary lung cancer underwent supraclavicular lymph nodes palpation and ultrasound examination, as well as B-guided fine needle aspiration was performed in swollen lymph nodes.

目的：比较B超和触诊在原发性肺癌锁骨上淋巴结转移诊断中的价值，提高术前原发性肺癌TNM分期诊断的准确性。

Clinical data of patiens with supraclavicular metastasis of unknown primary sites in hospital from March 1978 to November 1998＇ were retrospectively analyzed, and nine characteristic factors which might affect prognosis were selected and analyzed by Cox modal.

对1978年3月～1998年11月住院治疗的锁骨上区原发不明转移癌患者的临床资料进行研究，选择9个可能对其预后产生影响的特征性因素，通过Cox模型进行单因素和多因素分析。

The lower neck node area and supraclavicular fossae were irradiated with the conventional technique by anterior field.

鼻咽和上颈部淋巴引流区采用IMRT技术照射，原发灶肿瘤靶区照射中位剂量67.5 Gy(65.1～74 Gy)，每次2.10～2.25 Gy，下颈部及锁骨上窝淋巴引流区采用颈前野常规照射。

Objective To observe the results of restoration of shoulder abduction by spinal accessory nerve transfer which was sectioned infraclavicularly to repair the suprascapular nerve in avulsed brachial plexus injury .

目的观察在锁骨下水平切断副神经，移位修复肩胛上神经，恢复臂丛损伤患者肩外展功能的临床效果及对斜方肌功能的影响。

Materials and Methods 46 cases with brachial plexus injury underwent traditional spinal accessory nerve transfer to restore shoulder abduction were followed-up. Recipient nerve: suprascapular nerve in 35 cases (upper partial brachial plexus injury 21 cases and total brachial plexus injury 14 cases), axillary nerve in 11 cases(upper partial brachial plexus injury 5 cases and total brachial plexus injury 6 cases); And trapezius muscle function was measured by physical examination and electrophysiological study in 18 patients.

材料与方法臂丛神经损伤患者46例，传统锁骨上前入路副神经移位恢复肩关节外展功能；受区神经：肩胛上神经35例(上臂丛神经损伤21例，全臂丛神经损伤14例)，腋神经11例(上臂丛神经损伤5例，全臂丛神经损伤6例)；术后随访肩关节外展功能的恢复，并对来院随访患者随访检查其斜方肌各部肌力及电生理的变化。

Outcomes in patients with suprascapular nerve as recipient was significantly better than that in patients with axillary nerve as recipient, So the suprascapular nerve should be selected as the best choice of recipient; And functional deficit occured in upper, middle and lower portions of trapezius after the traditional spinal accessory nerve transfer.

副神经移位治疗臂丛神经损伤恢复肩关节外展功能，修复肩胛上神经的疗效优于修复腋神经，应把移位修复肩胛上神经作为首选；传统锁骨上前入路手术后斜方肌各部功能有明显下降。

G. Direct the needle medially, slightly cephalad, and posteriorly behind the clavicle toward the posterior, superior angle to the sternal end of the clavicle (toward finger placed in the suprasternal notch).

小心缓慢进针，针尖过锁骨后，往胸锁关节后上角进针（此时可用手指触摸胸骨上凹提示进针方向。

Its insertion was mainly composed of tendinous tissue, which was spaned by the lower trunk of brachial plexus.

小斜角肌的血供有2种类型：(1)从锁骨下动脉直接发出的分支，占63%；(2)来自颈深动脉的分支。

Methods From April 1977 to December 2004,7 patients were admitted. There were 4 false aneurysms in aortic isthmus, and 1 right subclavian artery pseudoaneurysm, and 1 right axillary artery false aneurysm, and 1 thoracicoabdominal multiple pseudoaneurysms.

方法1977年4月～2004年12月收治的7例白塞氏病所致动脉瘤患者中，主动脉弓降部假性动脉瘤4例，右锁骨下动脉假性动脉瘤1例，右腋动脉假性动脉瘤1例，胸腹主动脉多发性假性动脉瘤1例。

With Death guitarist Schuldiner adopting vocal duties, the band made a major impact on the scene.

随着死亡的吉他手Schuldiner接受主唱的职务，乐队在现实中树立了重要的影响。

But he could still end up breakfasting on Swiss-government issue muesli because all six are accused of nicking around 45 million pounds they should have paid to FIFA.

不过他最后仍有可能沦为瑞士政府&议事餐桌&上的一道早餐，因为这所有六个人都被指控把本应支付给国际足联的大约4500万英镑骗了个精光。