不同术式早期治疗半椎体型先天性脊柱侧弯的临床疗效比较
- 关键词:
- 脊柱侧凸/外科学
- 摘要:
- 目的比较前后路半椎体切除、后路短节段内固定术与单纯前后路凸侧骺阻滞术早期治疗半椎体型先天性脊柱侧弯的疗效。方法选择2000年9月～2005年6月收治的5岁以下完全分节半椎体型先天性脊柱侧弯患儿17例,男11例,女6例,平均年龄3岁2个月,均为T10～L4半椎体畸形,根据术式将17例患儿分为A、B两组,A组10例,采取前后路半椎体切除、后路短节段内固定术,B组7例,采用单纯凸侧前后路骺阻滞术。结果A组平均年龄3岁1个月,术前侧弯平均Cobb角为44°,术后平均随访时间3年3个月,随访时平均Cobb角为17°,平均矫正率为61.4%;B组平均年龄2岁11个月,术前侧弯平均Cobb角为46°,术后平均随访时间3年5个月,随访时平均Cobb角为21°,平均矫正率为54.4%。两组伴后凸畸形者术后无加重。两组侧弯矫形效果比较,差异无统计学意义(P=0.107)。结论两种术式在治疗5岁以下一定弧度内的半椎体型先天性脊柱畸形方面,均可达到限制畸形进展或矫形的目的,但凸侧骨骺阻滞术无需切除半椎体和内固定器械矫形,具有手术时间短、术中出血少、相对安全、治疗费用低的优点。
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[1]程富礼 孙琳 于凤章 景小博 张庆玉. 应用改良皮下棒技术治疗小儿脊柱侧凸13例[J].临床小儿外科杂志,2011,10(02):151.
[J].Journal of Clinical Pediatric Surgery,2011,10(01):151.
[2]王继孟,张敏刚,王恒冰,等.半椎体切除术治疗先天性脊柱侧凸30例[J].临床小儿外科杂志,2008,7(02):7.
[3]郭东,高荣轩,姚子明,等.儿童腰骶部半椎体一期后路切除短节段固定治疗效果分析[J].临床小儿外科杂志,2020,19(07):596.[doi:10.3969/j.issn.1671-6353.2020.07.007]
Guo Dong,Gao Rongxuan,Yao Ziming,et al.One-stage posterior-only lumbosacral hemivertebra resection with short-segment internal fixation and fusion in children[J].Journal of Clinical Pediatric Surgery,2020,19(01):596.[doi:10.3969/j.issn.1671-6353.2020.07.007]
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Cao Jun,Zhang Xuejun.Systemic treatments of pediatric early-onset scoliosis[J].Journal of Clinical Pediatric Surgery,2021,20(01):1.[doi:10.12260/lcxewkzz.2021.01.001]
[5]朱伟玮,张学军,曹隽,等.生长棒近端锚定点数量对早发性脊柱侧凸疗效及并发症的影响[J].临床小儿外科杂志,2021,20(01):14.[doi:10.12260/lcxewkzz.2021.01.003]
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[9]刘昊楠,张学军,李多依,等.加速康复外科模式在先天性脊柱侧凸患者围手术期治疗中的应用研究[J].临床小儿外科杂志,2021,20(05):447.[doi:10.12260/lcxewkzz.2021.05.010]
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[10]朱伟玮,叶文松.生长棒技术治疗早发性先天性脊柱侧凸的研究进展[J].临床小儿外科杂志,2021,20(07):681.[doi:10.12260/lcxewkzz.2021.07.017]
Zhu Weiwei,Ye Wensong.Recent advances in the treatment of early-onset congenital scoliosis with growing rod technique[J].Journal of Clinical Pediatric Surgery,2021,20(01):681.[doi:10.12260/lcxewkzz.2021.07.017]