中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2011年
3期
323-324
,共2页
脊柱侧凸%胸腔镜检查%矫形外科手术
脊柱側凸%胸腔鏡檢查%矯形外科手術
척주측철%흉강경검사%교형외과수술
Seoliosis%Thoracoscopy%Orthopedic procedures
目的 比较经胸腔镜前路微创矫形术与传统前路矫形术治疗特发性脊柱侧凸的临床效果.方法 70例特发性脊柱侧凸患者在知情同意情况下,按患者意愿分为A组和B组各35例,A组采用胸腔镜下前路微创矫形术,B组采用传统前路矫形术,比较两组手术时间、并发症、住院时间、患者满意率、总有效率及治疗前后的Cobb角等.结果 A组手术时间(225.6±30.8)min、住院时间(2.7±0.8)d均短于B组[(365.4±23.8)min、(4.8±1.2)d](t=3.26、3.78,均P＜0.05),A组并发症发生率8.6%明显低于B组的20.0%(x2=3.45,P＜0.05),患者满意率(97.1%)及总有效率(97.1%)均高于B组(80.0%、85.75%)(x2=2.85、3.01,均P＜0.05),Cobb角(14.2±5.4)°小于B组(23.4±5.6)°(t=2.97,P＜0.05).结论 经胸腔镜前路微创矫形术治疗特发性脊柱侧凸临床效果较传统前路矫形术疗效好、并发症发生率低,值得临床推广应用.
目的 比較經胸腔鏡前路微創矯形術與傳統前路矯形術治療特髮性脊柱側凸的臨床效果.方法 70例特髮性脊柱側凸患者在知情同意情況下,按患者意願分為A組和B組各35例,A組採用胸腔鏡下前路微創矯形術,B組採用傳統前路矯形術,比較兩組手術時間、併髮癥、住院時間、患者滿意率、總有效率及治療前後的Cobb角等.結果 A組手術時間(225.6±30.8)min、住院時間(2.7±0.8)d均短于B組[(365.4±23.8)min、(4.8±1.2)d](t=3.26、3.78,均P＜0.05),A組併髮癥髮生率8.6%明顯低于B組的20.0%(x2=3.45,P＜0.05),患者滿意率(97.1%)及總有效率(97.1%)均高于B組(80.0%、85.75%)(x2=2.85、3.01,均P＜0.05),Cobb角(14.2±5.4)°小于B組(23.4±5.6)°(t=2.97,P＜0.05).結論 經胸腔鏡前路微創矯形術治療特髮性脊柱側凸臨床效果較傳統前路矯形術療效好、併髮癥髮生率低,值得臨床推廣應用.
목적 비교경흉강경전로미창교형술여전통전로교형술치료특발성척주측철적림상효과.방법 70례특발성척주측철환자재지정동의정황하,안환자의원분위A조화B조각35례,A조채용흉강경하전로미창교형술,B조채용전통전로교형술,비교량조수술시간、병발증、주원시간、환자만의솔、총유효솔급치료전후적Cobb각등.결과 A조수술시간(225.6±30.8)min、주원시간(2.7±0.8)d균단우B조[(365.4±23.8)min、(4.8±1.2)d](t=3.26、3.78,균P＜0.05),A조병발증발생솔8.6%명현저우B조적20.0%(x2=3.45,P＜0.05),환자만의솔(97.1%)급총유효솔(97.1%)균고우B조(80.0%、85.75%)(x2=2.85、3.01,균P＜0.05),Cobb각(14.2±5.4)°소우B조(23.4±5.6)°(t=2.97,P＜0.05).결론 경흉강경전로미창교형술치료특발성척주측철림상효과교전통전로교형술료효호、병발증발생솔저,치득림상추엄응용.
Objective To study and compare the effects of different surgical operation in treatment of adolescent idiopathic seoliosis. Methods 70 patients with adolescent idiopathic seoliosis and patients informed consent were selected as research object,and they were divided into group A 35 cases and group B 35 cases according to their willingness, and they were separately treated with videoassisted anterior thoracoscopic correction and traditional anterior thoracoscopic correction, then the surgical time, complications, hospital stays, rates of patients satisfaction, total effective rate and Cobb, before and after the treatment were detected and compared. Results The surgical time [(225.6 ± 30. 8) min] and hospital stays [(2. 7 ± 0. 8) d] of group A were all shorter than those of group B [( 365. 4 ±23. 8) min, (4. 8 ± 1.2 ) d] ( t = 3.26,3.78, all P ＜ 0. 05 ), complications rate ( 8. 6% ) was lower than that of group B (20. 0% ) ( x2 = 3. 45, P ＜ 0. 05 ), rates of patients satisfaction ( 97. 1% ) and total effective ( 97. 1% ) were higher than those of group B(80. 0% ,85.75% ) (x2 =2. 85,3.01 ,all P ＜0.05) ,Cobb( 14. 2 ± 5.4)°was smaller than that of group B(23. 4 ±5.6) °(t =2. 97 ,P ＜ 0. 05). Conclusion The effect of vidcoassisted anterior thoracoscopic correction in treatment of adolescent idiopathic seoliosis was good,and complications rate was low and it was worthy of extend and application.
