本文選題：青少年特發(fā)性脊柱側凸 + 后路矯形　； 參考：《中國脊柱脊髓雜志》2017年06期

【摘要】：目的:探討Lenke 3型青少年特發(fā)性脊柱側凸(adolescent idiopathic scoliosis,AIS)患兒脊柱后路矯形術后身高增長(ΔSH)的相關影響因素。方法:選取2014年1月~2016年6月于我院行脊柱后路矯形手術的女性Lenke 3型AIS患兒90例,年齡15.0±2.6歲。于站立位全脊柱正側位X線片上測量術前、術后的主彎側凸Cobb角1(最大側凸Cobb角)、側凸Cobb角2(次之側凸Cobb角)、脊柱高度(spinal height,SH)、胸椎后凸角(thoracic kyphosis,TK)及腰椎前凸角(lumbar lordosis,LL)。應用Pearson相關分析ΔSH與其他參數(shù)之間的相關性,應用線性回歸探討ΔSH的相關影響因素。結果:ΔSH為2.9±1.0cm。Pearson相關性分析示ΔSH與術前的側凸Cobb角1(P=0.000)、側凸Cobb角2(P=0.000)及TK(P=0.023)均呈顯著相關性,與術后的側凸Cobb角1(P=0.000)、側凸Cobb角2(P=0.000)、LL(P=0.025)、側凸Cobb角1變化(P=0.000)、側凸Cobb角2變化(P=0.000)及TK變化(P=0.032)均呈顯著相關性。線性回歸分析示ΔSH與側凸Cobb角1變化(P=0.017)、側凸Cobb角2變化(P=0.001)均呈顯著線性相關(R~2=0.333);另外,ΔSH與術前側凸Cobb角1(P=0.006)、側凸Cobb角2(P=0.007)、術前TK(P=0.038)亦呈顯著線性相關(R~2=0.595)。結論:Lenke 3型AIS患兒脊柱后路矯形術后身高增長的相關影響因素包括術前、術后的主彎側凸Cobb角、術前TK及其術后變化值。主彎Cobb角矯正是Lenke 3型AIS術后身高增加的最主要影響因素。Lenke 3型AIS患兒的術前側凸Cobb角及術前TK可以較好地預測患兒術后身高恢復情況。
[Abstract]:Objective: to investigate the related factors of height increase after posterior spinal orthopedic surgery in children with Lenke type 3 adolescent idiopathic scoliosis who were treated with Adolescent idiopathic Scoliosisus. Methods: from January 2014 to June 2016, 90 female children with Lenke type 3 AIS underwent posterior spinal surgery in our hospital, aged 15.0 鹵2.6 years. The Cobb angle of the main kyphosis before and after the operation was measured on X-ray film of the whole spine in the standing position. The Cobb angle of the main kyphosis was 1 (maximum Cobb angle of scoliosis, 2 Cobb angle of the scoliosis) (Cobb angle of the secondary scoliosis, spinal height of the spine, thoracic kyphosissis tk) and lumbar kyphosissis of the lumbar spine. The correlation between 螖 SH and other parameters was analyzed by Pearson correlation analysis, and the influencing factors of 螖 SH were studied by linear regression. Results: the correlation analysis of 螖 SH was 2. 9 鹵1.0cm.Pearson. The correlation between 螖 SH and preoperative Cobb angle of scoliosis was significantly higher than that of Cobb angle (0. 000) and Cobb angle (0. 023). There was a significant correlation with the postoperative Cobb angle of scoliosis, the Cobb angle of scoliosis, the change of Cobb angle 1, the change of Cobb angle 2, the change of Cobb angle, and the change of TK, P0. 032 (P < 0. 032). Linear regression analysis showed that there was a significant linear correlation between 螖 SH and Cobb angle 1 of scoliosis (P < 0.017), and a significant linear correlation between 螖 SH and Cobb angle 1P 0.006, Cobb angle 2P 0.007 and preoperative Cobb angle (P < 0.038), and there was also a significant linear correlation between 螖 SH and preoperative Cobb angle (P = 0.595N). Conclusion the related factors of height increase after posterior orthopedic surgery in children with AIS of type 3: Lenke include preoperative and postoperative Cobb angle, TK before operation and the change value after operation. Correction of Cobb angle is the most important factor of height increase after Lenke 3 AIS. Cobb angle of preoperative scoliosis and TK can be used to predict postoperative height recovery of children with AIS type Lenke 3.
【作者單位】： 南京大學醫(yī)學院附屬鼓樓醫(yī)院脊柱外科;
【基金】：中央高�；究蒲袠I(yè)務費專項資金資助(編號:021414380200)
【分類號】：R726.8

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