中国骨与关节杂志
中國骨與關節雜誌
중국골여관절잡지
Chinese Journal of Bone and Joint
2014年
10期
732-738
,共7页
宋凯%张永刚%付君%刘超%冉博%张国营%郑国权%崔赓%张雪松%毛克亚%王征%王岩
宋凱%張永剛%付君%劉超%冉博%張國營%鄭國權%崔賡%張雪鬆%毛剋亞%王徵%王巖
송개%장영강%부군%류초%염박%장국영%정국권%최갱%장설송%모극아%왕정%왕암
脊柱炎,强直性%椎体后凸成形术%矫形外科手术%颈椎%胸椎%腰椎%颌眉角
脊柱炎,彊直性%椎體後凸成形術%矯形外科手術%頸椎%胸椎%腰椎%頜眉角
척주염,강직성%추체후철성형술%교형외과수술%경추%흉추%요추%합미각
Spondylitis,ankylosing%Kyphoplasty%Orthopedic procedures%Cervical vertebrae%Thoracic vertebrae%Lumbar vertebrae%The jaw angle eyebrow
目的探索不同范围颌眉角对颈椎强直性脊柱炎(ankylosingspondylitis，AS)患者日常生活的影响，确定最优的颌眉角范围，进而为截骨矫形设计提供理论依据。方法选取我科收治的25例颈椎强直的 AS 胸腰段后凸畸形患者，所有患者矫形前后均完成视野相关生活质量功能及期望评分调查问卷表。不考虑手术与否，按照自然站立位颌眉角将所有外观照所对应病例( n＝50)分为6组：A 组，CBVA＜0°；B组，0°≤CBVA＜10；C 组，10°≤CBVA＜20°；D组，20°≤CBVA＜30°；E 组，30°≤CBVA＜40°；F组， CBVA≥40°。将6组患者每项调查问卷项目进行比较分析，多组间比较时采用Kruskal-Wallis检验，组间两两比较采用Mann-Whitney检验。结果总体评价：C组(10～20)°获得最优的期望值评价，P＜0.05。B、C、D 组(0～30)°获得较其它组更好的功能评价，P＜0.05，但三组间差异无统计学意义。形象评价：A、B、C 组(＜20°)较其它组获得更好的形象满意度及期望值，P＜0.05，但三组间差异无统计学意义。户外活动：A、B、C、D组(＜30°)在多数项目上较其它组获得更好的功能评价及期望值评价。室内活动：C、D组(10～30)°在多数项目上较其它组获得较好的功能评价及期望评价。结论颌眉角在10°～20°时，患者视野相关活动功能及满意度最高，因此，10°～20°为颌眉角的最佳矫正角度。
目的探索不同範圍頜眉角對頸椎彊直性脊柱炎(ankylosingspondylitis，AS)患者日常生活的影響，確定最優的頜眉角範圍，進而為截骨矯形設計提供理論依據。方法選取我科收治的25例頸椎彊直的 AS 胸腰段後凸畸形患者，所有患者矯形前後均完成視野相關生活質量功能及期望評分調查問捲錶。不攷慮手術與否，按照自然站立位頜眉角將所有外觀照所對應病例( n＝50)分為6組：A 組，CBVA＜0°；B組，0°≤CBVA＜10；C 組，10°≤CBVA＜20°；D組，20°≤CBVA＜30°；E 組，30°≤CBVA＜40°；F組， CBVA≥40°。將6組患者每項調查問捲項目進行比較分析，多組間比較時採用Kruskal-Wallis檢驗，組間兩兩比較採用Mann-Whitney檢驗。結果總體評價：C組(10～20)°穫得最優的期望值評價，P＜0.05。B、C、D 組(0～30)°穫得較其它組更好的功能評價，P＜0.05，但三組間差異無統計學意義。形象評價：A、B、C 組(＜20°)較其它組穫得更好的形象滿意度及期望值，P＜0.05，但三組間差異無統計學意義。戶外活動：A、B、C、D組(＜30°)在多數項目上較其它組穫得更好的功能評價及期望值評價。室內活動：C、D組(10～30)°在多數項目上較其它組穫得較好的功能評價及期望評價。結論頜眉角在10°～20°時，患者視野相關活動功能及滿意度最高，因此，10°～20°為頜眉角的最佳矯正角度。
목적탐색불동범위합미각대경추강직성척주염(ankylosingspondylitis，AS)환자일상생활적영향，학정최우적합미각범위，진이위절골교형설계제공이론의거。방법선취아과수치적25례경추강직적 AS 흉요단후철기형환자，소유환자교형전후균완성시야상관생활질량공능급기망평분조사문권표。불고필수술여부，안조자연참립위합미각장소유외관조소대응병례( n＝50)분위6조：A 조，CBVA＜0°；B조，0°≤CBVA＜10；C 조，10°≤CBVA＜20°；D조，20°≤CBVA＜30°；E 조，30°≤CBVA＜40°；F조， CBVA≥40°。장6조환자매항조사문권항목진행비교분석，다조간비교시채용Kruskal-Wallis검험，조간량량비교채용Mann-Whitney검험。결과총체평개：C조(10～20)°획득최우적기망치평개，P＜0.05。B、C、D 조(0～30)°획득교기타조경호적공능평개，P＜0.05，단삼조간차이무통계학의의。형상평개：A、B、C 조(＜20°)교기타조획득경호적형상만의도급기망치，P＜0.05，단삼조간차이무통계학의의。호외활동：A、B、C、D조(＜30°)재다수항목상교기타조획득경호적공능평개급기망치평개。실내활동：C、D조(10～30)°재다수항목상교기타조획득교호적공능평개급기망평개。결론합미각재10°～20°시，환자시야상관활동공능급만의도최고，인차，10°～20°위합미각적최가교정각도。
Objective To investigate effects of chin-brow vertical angle ( CBVA ) in different ranges on daily life of ankylosing spondylitis ( AS ) patients with cervical ankylosis, so as to determine the optimal CBVA and further provide theoretical basis for osteotomy planning.Methods A total of 25 AS patients with thoracolumbar kyphosis and cervical ankylosis were studied, whose functions and expectations of quality of life ( QOL ) related to visual ifeld were assessed by a questionnaire before and after the surgery. The CBVA was obtained based on lateral photos of the patients in natural standing posture. All the cases (n=50 ) were divided into 6 groups according to the CBVA irrespective of surgery, including group A ( CBVA<0° ), group B ( 0°≤CBVA<10° ), group C ( 10°≤CBVA<20° ), group D ( 20°≤CBVA<30° ), group E ( 30°≤CBVA<40° ) and group F ( CBVA≥40° ). The Kruskal-Wallis test was used to assess differences among all the groups in terms of various items in the questionnaire, and the Mann-Whitney test was used to assess differences between 2 groups.Results In overall evaluation, the optimal expectation value was obtained in group C ( 10-20 ) ° (P<0.05 ), and better expectation value was obtained in group B, C and D ( 0-30 ) ° (P<0.05 ), with no statistically signiifcant differences among the 3 groups. In appearance evaluation, group A, B and C ( <20° ) were better than the other groups both in appearance satisfaction degree and expectation (P<0.05 ), with no statistically signiifcant differences among the 3 groups. In outdoor activities, better functions and expectations were achieved in group A, B, C and D ( <30° ) in most of the items. In indoor activities, group C and D ( 10-30 ) ° were much better in most of the items.Conclusions AS patients with cervical ankylosis have the best QOL related to visual ifeld and are most satisifed with the appearance when 10°≤CBVA<20°.
