摘要
[目的]调查哈尔滨市青少年脊柱侧凸的患病率及类型,分析支具治疗的临床效果。[方法]于2005年10月～2009年10月对哈尔滨市城乡32所中、小学校6～16岁的24 362名中、小学生进行脊柱侧凸普查,统计患病率情况。根据特发性脊柱侧凸患者Cobb角大小不同,给予热塑支具治疗(Cobb角20°～40°)。每6个月复查1次,摄站立位全脊柱正侧位X线片,分析治疗结果。[结果]第一检结果阳性1 240名(5.09%),第二检阳性518名(2.13%),其中497名进行第三检,全脊柱正侧位X线片示Cobb角≥10°者423名,患病率为1.74%。特发性脊柱侧凸116例(Cobb角20°～40°)进行热塑支具治疗,支具治疗病例平均随访38个月,84例(72.4%)治疗有效,32例(27.6%)出现脊柱侧凸进展,治疗无效。Cobb角20°～30°组的矫正效果优于Cobb角30°～40°组,两组比较有显著差异(P<0.05)。[结论]通过普查,可以早发现、早诊断青少年脊柱侧凸,以便及时选择适当的方法进行治疗。热塑矫形支具治疗青少年特发性脊柱侧凸能够取得较好疗效,侧凸柔软性好,Cobb角较小,则矫正效果好。
[Objective] To investigate the morbidity of the adolescent scoliosis in Harbin and analyze the clinical effects of brace treatment. [Methods]The morbidity statics had been made during October 2005 to October 2009,with 24362 students,aged from 6 to 16 years old and distributed in thirty-two middle or elementary schools located in urban or rural area of Harbin.Thermoplastic brace treatments（Cobb angle 20°～40°） had been given according to the individual Cobb angle of the idiopathic scoliosis patients.The patients were reviewed every six months,taking the standing full-spine X-ray and the result of the treatment was analyzed. [Results]Totally 1 240（5.09%） people were found with suspect scoliosis positive in the preliminary examine.Other 518（2.13%） people were found in the secondary examine,497 people out of those Another 518 were checked in the final examine.A full-spine frontal and lateral X-ray film was given in the last examine.There were 423 people whose Cobb angle were greater than or equal to 10°,giving the morbidity of the adolescent scoliosis of 1.74%.Totally 116 patients of idiopathic scoliosis（Cobb angle 20°～40°） received the thermoplastic brace treatment.Patients who took the brace treatment were given a follow-up with averaged 36 months,84 cases（72.4%） with the brace showed a good effectiveness,32（27.6%） were judged as curve progression.The initial brace correcting effectiveness was better in patients whose Cobb angle were between 20°to 30° compared with those whose Cobb angle were between 30°to 40°（P0.05）. [Conclusion]Adolescent scoliosis can be found,diagnosed in the early stage by general survey,so it could be cured by the appropriate methods in time.Thermosetting plastic brace have good treatment effectiveness.The more flexible the distortion is and the lower Cobb angle is,the better correcting result could be achieved.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2011年第15期1244-1247,共4页
Orthopedic Journal of China
基金
黑龙江省自然科学基金课题(编号:D2007-58)
关键词
脊柱侧凸
青少年
普查
支具
scoliosis
adolescent
general survey
brace
