摘要
作者检测了１４２例先天性、特发性和强直性脊柱伴胸廓畸形患者的术前肺通气功能。６２例于术后半年至８年进行了１～２次肺功能随访。结果与４３例正常人进行了比较。显示三种畸形患者的肺通气功能指标ＶＣ，ＶＣ％，ＭＶＶ，ＭＶＶ％，ＲＶ，ＦＲＣ，ＴＬＣ，ＴＬＣ％和ＭＭＦ等均低于正常。肺功能障碍以先天组最重，特发组次之，强直组最轻，发病年龄小，病程长，侧弯严重者损害更重。脊柱多节段楔形截骨植骨加鲁氏棒或哈氏棒内固定术可明显改善肺功能，远期效果更佳。其改善程度与术龄、病程、畸形类型、侧弯矫正程度及术后恢复情况有关。
AbstractLung function tests were made in patients with spinaldeformities 142 cases before the spinal corrective operation of multi-segmental wedge osteotomy and bone graftconbined with Harrington or Luque instrumentation andthe test was repeated in 62 cases 0.5～8 years after thesurgery. Congenital scoliosis was diagnosed in 34, idio-pothic scolinsis in 74,and ankylocing spondylitis in 34 cas-es.The results showed a serious restrietive ventilatory de-fect in all 3 groups of spinal deformity with a signifieantrduction in VC,MMF,MVV,RV,FRC and TLC,andtheir percentages of the predicted values,except for FEV(1.0%).The congenital group had the most severe ,idio-pathic the mederate,ankylosing the slightest defect.Signif-icant improvement of ventilatory functions were seen inthe foilow up petients after oporation, The unprovementwas supposed to be related to the age of petients duringsurgery , duration of diseases , types of deformities,correc-tive rate of curvature and postoperative increment of bodyheight.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1995年第4期201-205,共5页
Chinese Journal of Orthopaedics
