Bai Yunsong,Zhang Xuejun,Cao Jun,et al.Efficacy of bilateral growth rods in the treatment of early-onset scoliosis[J].Journal of Clinical Pediatric Surgery,2021,20(01):29-32.[doi:10.12260/lcxewkzz.2021.01.006]
双侧生长棒技术治疗早发性脊柱侧凸的疗效分析
- Title:
- Efficacy of bilateral growth rods in the treatment of early-onset scoliosis
- Keywords:
- Scoliosis/SU; Scoliosis/TH; Growing Rod Technique; Treatment Outcome
- 分类号:
- R726.8;R682.3
- 摘要:
- 目的 初步分析采用双侧生长棒技术治疗早发性脊柱侧凸的临床价值。方法 选取首都医科大学附属北京儿童医院2012年4月至2015年4月收治的早发性脊柱侧凸患者110例为研究对象，均实施双侧生长棒治疗，随访5年，对比110例患者治疗前、治疗后脊柱影像学参数变化、肺功能指标及并发症情况。结果 110例均顺利完成手术，平均手术用时（181.25±9.14）min，术中出血量（132.41±10.72）mL，平均住院时间（10.94±2.13）d；手术治疗前后TK比较差异无统计学意义（P>0.05）；治疗后主弯侧凸Cobb角均明显减小，与手术治疗前相比，差异有统计学意义（P<0.05）；术后随访显示患者FVC、FEV1/FVC、FEV1预估值等各项肺功能指标水平均高于术前，差异有统计学意义（P<0.05）；并发症发生率为10.91%（12/110）。结论 双侧生长棒可有效纠正脊柱侧凸畸形并同步改善肺功能，术后并发症较少，具有一定的临床应用价值。
- Abstract:
- Objective To explore the clinical efficacy of bilateral growth rods in the treatment of early-onset scoliosis.Methods A total of 110 children with early-onset scoliosis were treated with bilateral growth rods and followed up for 5 years from April 2012 to April 2015.Their perioperative changes of thoracolumbar imaging parameters,pulmonary function indices and complications were compared.Results All 110 children completed operations successfully.The average operative duration was (181.25±9.14),the volume of intraoperative blood loss (132.41±10.72) ml and the average hospitalization stay (10.94±2.13) days.No significant inter-group difference in thoracic kyphosis (TK) existed before and after-operation (P>0.05).After treatment,the Cobb angle of main curve scoliosis decreased significantly as compared with preoperatively and the difference was significant (P<0.05);postoperative follow-ups showed that estimated values and other pulmonary function indices (FVC,FEV1/FVC & FEV1) were higher than their preoperative counterparts and the differences were significant (P<0.05);the incidence rate of complications was 10.91%(12/110).Conclusion Bilateral growth rod can effectively correct acute scoliosis and improve pulmonary function synchronously with fewer postoperative complications.
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备注/Memo
收稿日期:2020-12-08。
基金项目:北京市医院管理局2018年度"杨帆"计划临床技术创新项目（编号：XMLX201818）
通讯作者:张学军,Email:zhang-x-j04@163.com