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后路矫形手术对青少年特发性脊柱侧凸脊柱高度的影响

Height of Posterior Orthopedic Surgery for Adolescent Idiopathic Scoliosis of the Spine
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摘要 目的观察青少年特发性脊柱侧凸(AIS)运用后路矫形手术对脊柱高度影响。方法资料选择2015年4月—2016年4月于该院(即内蒙古医科大学第二附属医院)医治的122例脊柱侧凸患者,实施后路矫形手术,根据X射线片检查的脊柱弯曲状况分双弯组(DC=56例)与单弯组(SC=66例),观察两组治疗前后主弯Cobb角及SH变化情况。结果经治疗后DC组主弯Cobb角降低幅度(31.57±9.24)°显著大于SC组(26.64±10.29)°,比较差异有统计学意义(P<0.05);且DC组SH增加幅度(35.21±2.84)cm显著高于SC组(3.11±3.03)cm,比较差异有统计学意义(P<0.05)。结论运用后路矫形手术治疗AIS可改善主弯Cobb角及脊柱高度,其中对双弯的改善效果更显著。 Objective To observe adolescent idiopathic scoliosis(AIS) using posterior height orthopedic surgery on the spine. Methods Materials selection in April 2015 to April 2016 in our hospital treatment of 122 cases of scoliosis, implementation posterior orthopedic surgery, according to the curvature of the spine X-ray examination of the situation of sub-group double curve(DC = 56 cases) and single bending group(SC = 66 patients) was observed SH main curve Cobb angle and changes before and after treatment. Results After treatment, the DC group major curve Cobb angle decreased amplitude(31.57 ± 9.24) ° is significantly larger than the SC group(26.64 ± 10.29) °, the difference was significant(P〈0.05); and the DC group SH rate of increase(35.21 ± 2.84) cm significantly higher than the SC group(3.11 ±3.03) cm, the difference was significant(P〈0.05). Conclusion Orthopedic surgery using posterior AIS can improve major curve Cobb angle and height of the spine, in which the double-bend improving effect more pronounced.
作者 张凯 李筱贺
出处 《系统医学》 2016年第11期63-64,68,共3页 Systems Medicine
基金 内蒙古自然科学基金(2016MS08131)
关键词 后路矫形手术 青少年特发性脊柱侧凸 脊柱高度 Posterior orthopedic surgery Adolescent idiopathic scoliosis Spinal height
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