CAJ | 학술논문

目的：研究采用手术治疗的退变性脊柱侧凸患者近期治疗的CT影像学特点。方法选取2013年7月-2014年6月70例经手术治疗的退变性脊柱侧凸患者作为研究对象，采用CT检查对其近期疗效(6个月)进行评定，分析比较病变临床特点、脊柱功能恢复情况等资料。结果术后随访1、3、6个月患者腰腿疼痛VAS评分均明显下降，ODI评分降低，与术前比较，P均＜0.05，差异显著。术后CT检查示：腰椎侧凸Cobb角度、顶椎偏移、冠状面平衡、矢状面平衡均下降，腰椎前凸角角度增大，与术前比较，P＜0.05，差异显著。结论退变性脊柱侧凸疼痛主要发生在胸腰段或腰部，弯度大部分未超过20°；伴椎体的旋转、滑移等；术后患者脊柱恢复生理弯曲和功能，CT检查对手术治疗退变性脊柱侧凸患者的近期疗效具有积极的指导意义。
목적：연구채용수술치료적퇴변성척주측철환자근기치료적CT영상학특점。방법선취2013년7월-2014년6월70례경수술치료적퇴변성척주측철환자작위연구대상，채용CT검사대기근기료효(6개월)진행평정，분석비교병변림상특점、척주공능회복정황등자료。결과술후수방1、3、6개월환자요퇴동통VAS평분균명현하강，ODI평분강저，여술전비교，P균＜0.05，차이현저。술후CT검사시：요추측철Cobb각도、정추편이、관상면평형、시상면평형균하강，요추전철각각도증대，여술전비교，P＜0.05，차이현저。결론퇴변성척주측철동통주요발생재흉요단혹요부，만도대부분미초과20°；반추체적선전、활이등；술후환자척주회복생리만곡화공능，CT검사대수술치료퇴변성척주측철환자적근기료효구유적겁적지도의의。
Objective This paper is to study CT imaging characteristics of recent treatment on patients with degenerative scoliosis of surgical treatment. Methods Selected in July 2013 to June 2013, 70 cases of the surgical treatment of degenerative scoliosis patients as the research object, adopts CT examination on its recent curative effect (6 months) to assess, compared lesion clinical characteristics, the spinal function recovery etc. Results Waist pain VAS scores and ODI scores of patients with 1, 3 and 6 months patients postoperative follow-up decreased significantly, P<0.05 was satisfied when compared to preoperative results, and differences were significant. With the rotation and slipping of the vertebral body, and spines of patients recover physiological bending and function, CT examination delivers positive significance on surgical treatment on patients with degenerative scoliosis in the near future.