目的　探讨先天性高肩胛症的手术治疗。方法　采用肩胛骨部分切除矫形治疗先天性高肩胛症患儿 2 6例 (2 7肩 ) ,随访平均 3 .9年 ,最长时间达 7年。结果　术前患肢外展上举平均 1 1 3°,术后平均改善为 1 4 5° ,多数患儿的学习生活功能不受影响。结论　肩胛骨部分切除矫形治疗先天性高肩胛症可以取得令人满意的功能 Objective To investigate the surgical treatment of congenital high scapular disease. Methods A total of 26 cases (27 shoulders) of congenital high scapulae were treated with scapular partial resection and correction. The average follow-up was 3.9 years and the longest time was 7 years. Results The preoperative limb abduction showed an average of 11 3 ° and the postoperative average improvement was 14 5 °. Most children’s learning and living functions were not affected. Conclusions Partial scapular excision and correction of congenital high scapular may achieve satisfactory function