本文選題：脊柱炎　切入點(diǎn)：強(qiáng)直性　出處：《中國組織工程研究》2017年07期 　論文類型：期刊論文

【摘要】：背景:強(qiáng)直性脊柱炎胸腰椎后凸畸形的術(shù)前截骨設(shè)計(jì)方法多種多樣,但是均有一定誤差和局限性,尚無一種便捷、精確、能被廣泛接受的方法。目的:比較剪紙拼接和Photoshop(PS)軟件兩種術(shù)前截骨設(shè)計(jì)對強(qiáng)直性脊柱炎后凸畸形的矯形效果。方法:納入2009年6月至2015年1月于延安大學(xué)附屬醫(yī)院脊柱外科行截骨矯形的39例強(qiáng)直性脊柱炎合并胸腰椎后凸畸形患者,隨機(jī)分為2組,剪紙拼接組19例采用傳統(tǒng)剪紙拼接術(shù)前截骨設(shè)計(jì),PS組20例采用PS軟件行術(shù)前截骨設(shè)計(jì)。所有病例隨訪12-40個(gè)月,對比兩組患者術(shù)后截骨角度誤差和末次隨訪的矯形效果。結(jié)果與結(jié)論:(1)PS組的截骨角度誤差顯著小于剪紙拼接組(P0.05);(2)2組末次隨訪時(shí)脊柱骨盆關(guān)鍵矢狀位參數(shù)(矢狀位垂直軸、全脊柱后凸角、骨盆傾斜角)差異均有顯著性意義(P0.05),PS組顯著優(yōu)于剪紙拼接組;(3)PS組末次隨訪的Oswestry功能障礙指數(shù)和SRS-22評分顯著優(yōu)于剪紙拼接組,差異有顯著性意義(P0.05),但末次隨訪時(shí)2組目測類比評分差異無顯著性意義(P0.05);(4)綜上,對比傳統(tǒng)剪紙拼接截骨設(shè)計(jì),PS軟件截骨設(shè)計(jì)具有更小的截骨角度誤差和更好的術(shù)后脊柱矢狀面平衡,能夠指導(dǎo)手術(shù)醫(yī)師精準(zhǔn)的完成截骨手術(shù),更精確的恢復(fù)脊柱矢狀面平衡以及水平視角,有效避免矯正過度或者矯正不足。
[Abstract]:Background: ankylosing spondylitis of thoracolumbar kyphosis before osteotomy design a variety of methods, but have certain errors and limitations, there is a convenient and accurate method, can be widely accepted. Objective: To compare the paper-cut mosaic and Photoshop (PS) software of two preoperative design osteotomy on the correction effect of ankylosing spondylitis kyphosis. Methods: in June 2009 to January 2015 in Affiliated Hospital of Yan'an University spinal osteotomy 39 cases of ankylosing spondylitis of thoracolumbar kyphosis patients were randomly divided into 2 groups, 19 cases were treated by traditional mosaic paper-cut paper-cut mosaic preoperative osteotomy design, 20 cases using PS software before operation osteotomy design group PS. All patients were followed up for 12-40 months, the effect of orthopedic operation were compared between the two groups after osteotomy angle error and the last follow-up. Results and conclusion: (1) group PS osteotomy angle error is smaller than the paper-cut mosaic Group (P0.05); (2) the 2 groups at the end of the follow-up key spinopelvic sagittal parameters (sagittal vertical axis, the angle of kyphosis, pelvic tilt) with significant difference (P0.05), PS group was significantly better than that of paper-cut mosaic group; (3) Oswestry PS group at the end of the follow-up the disability index and SRS-22 scores were significantly better than the paper-cut mosaic group, with significant difference (P0.05), but no significant difference at the end of the follow-up of 2 groups of visual analogue score difference (P0.05); (4) the comparison of the traditional paper-cut mosaic design software PS osteotomy, osteotomy with smaller cross-sectional design bone angle error and better postoperative spinal sagittal balance, can guide the surgeon accurately complete osteotomy, restore more precise spinal sagittal balance and horizontal angle, avoid excessive or insufficient correction correction.

【作者單位】： 延安大學(xué)附屬醫(yī)院脊柱外科;西安交通大學(xué)第一附屬醫(yī)院骨科;延安大學(xué)附屬醫(yī)院胸外科;延安大學(xué)附屬醫(yī)院麻醉科;
【基金】：陜西省科技攻關(guān)項(xiàng)目(2015SF-115)~~
【分類號】：R687.31
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本文編號：1592760