中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2013年
43期
7527-7533
,共7页
龙智生%陈钢%陈宗和%李洪波%喻惜华%肖裕华%龚飞鹏%李宇旭%唐智明%李建飞
龍智生%陳鋼%陳宗和%李洪波%喻惜華%肖裕華%龔飛鵬%李宇旭%唐智明%李建飛
룡지생%진강%진종화%리홍파%유석화%초유화%공비붕%리우욱%당지명%리건비
骨关节植入物%脊柱植入物%脊柱侧凸%重度侧凸%前路松解%牵引%后路矫形%截骨%Cobb角%冠状位%矢状位
骨關節植入物%脊柱植入物%脊柱側凸%重度側凸%前路鬆解%牽引%後路矯形%截骨%Cobb角%冠狀位%矢狀位
골관절식입물%척주식입물%척주측철%중도측철%전로송해%견인%후로교형%절골%Cobb각%관상위%시상위
prostheses and implants%scoliosis%traction%osteotomy
背景：重度脊柱侧凸是目前临床治疗的难点，目前研究表明分期矫形治疗是一种安全有效的治疗手段。目的：分析分期矫形在治疗重度脊柱侧弯中的疗效。方法：对10例重度僵硬的脊柱侧凸分期矫形治疗进行回顾性分析，平均年龄12岁。冠状面Cobb角110°-180°，平均140°，矢状位后凸Cobb角50°-100°，平均75°，均采用1期前路松解，2期行Halo-plevic环牵引，3期后路截骨矫形内固定物治疗。结果与结论：所有病例均顺利完成手术治疗，无严重并发症发生，1期前路松解及2期牵引治疗术后冠状位Cobb角平均90°，矫正率为35.7%，矢状位Cobb角50°，矫正率为33.3%；3期截骨矫形后冠状位Cobb角平均40°，矫正率为71.4%，矢状位Cobb角35°，矫正率为53.3%。结果说明对于重度僵硬脊柱侧凸畸形，分期矫形治疗是有效安全的治疗手段。
揹景：重度脊柱側凸是目前臨床治療的難點，目前研究錶明分期矯形治療是一種安全有效的治療手段。目的：分析分期矯形在治療重度脊柱側彎中的療效。方法：對10例重度僵硬的脊柱側凸分期矯形治療進行迴顧性分析，平均年齡12歲。冠狀麵Cobb角110°-180°，平均140°，矢狀位後凸Cobb角50°-100°，平均75°，均採用1期前路鬆解，2期行Halo-plevic環牽引，3期後路截骨矯形內固定物治療。結果與結論：所有病例均順利完成手術治療，無嚴重併髮癥髮生，1期前路鬆解及2期牽引治療術後冠狀位Cobb角平均90°，矯正率為35.7%，矢狀位Cobb角50°，矯正率為33.3%；3期截骨矯形後冠狀位Cobb角平均40°，矯正率為71.4%，矢狀位Cobb角35°，矯正率為53.3%。結果說明對于重度僵硬脊柱側凸畸形，分期矯形治療是有效安全的治療手段。
배경：중도척주측철시목전림상치료적난점，목전연구표명분기교형치료시일충안전유효적치료수단。목적：분석분기교형재치료중도척주측만중적료효。방법：대10례중도강경적척주측철분기교형치료진행회고성분석，평균년령12세。관상면Cobb각110°-180°，평균140°，시상위후철Cobb각50°-100°，평균75°，균채용1기전로송해，2기행Halo-plevic배견인，3기후로절골교형내고정물치료。결과여결론：소유병례균순리완성수술치료，무엄중병발증발생，1기전로송해급2기견인치료술후관상위Cobb각평균90°，교정솔위35.7%，시상위Cobb각50°，교정솔위33.3%；3기절골교형후관상위Cobb각평균40°，교정솔위71.4%，시상위Cobb각35°，교정솔위53.3%。결과설명대우중도강경척주측철기형，분기교형치료시유효안전적치료수단。
BACKGROUND:The treatment of severe rigid idiopathic scoliosis is the difficulty of clinical treatment. The studies in recent years have shown that the three-stage correction is a safe and effective treatment method. OBJECTIVE:To explore the efficacy of three-stage correction in the treatment of severe rigid scoliosis. METHODS:Retrospective analysis was performed on 10 severe rigid scoliosis patients undergoing three-stage correction, the mean age of the patients was 12 years. The average Cobb angle in the coronal plane was 140° (ranged 110°-180°), the average Cobb angle in the sagittal plane was 75° (ranged 50°-100°). The treatment was divided three stages:anterior release, Halo-plevic traction and third step with posterior osteotomy and fixation. RESULTS AND CONCLUSION:Al of the patients underwent the surgery safely without severe complications. After anterior release and Halo-plevic traction, the Cobb angle in the coronal plane was 90°, and the mean correction rate was 35.7%;the Cobb angle in the sagittal plane was 50° with correction rate of 33.3%. The mean Cobb angle in the coronal plane was 40° with the correction rate of 71.4%after osteotomy, and the Cobb angle in the sagittal plane was 35° with the correction rate of 53.3%. The results show that three-stage correction is a safe and effective method for the treatment of severe rigid scoliosis.
