胸廓成型术在特发性重度僵硬性脊柱侧弯矫治中的应用价值  

Application value of thoracoplasty for correction of severe and rigid idiopathic scoliosis

作　　者：贾全章[1] 许建中[1] 周强[1] 卞传华[2] 陈伟民[2] 罗飞[1] 徐格[1] 殷翔[1] 

机构地区：[1]第三军医大学西南医院骨科,全军矫形外科中心,重庆400038 [2]解放军第208医院全军骨科中心,长春130062

出　　处：《第三军医大学学报》2007年第24期2364-2366,共3页Journal of Third Military Medical University

摘　　要：目的探讨胸廓成型术在特发性重度僵硬性脊柱侧弯矫治手术中的治疗效果。方法实验组在矫治术中辅助胸廓成型术共15例,对照组在矫治术中不辅助胸廓成型术共13例。采用主侧凸冠状面Cobb角、刀背高度、躯干不对称角度和患者外观满意度4项指标进行对比统计。结果实验组主侧凸冠状面Cobb角矫正率平均为51.16%,对照组为45.18%;刀背高度矫正率平均为51.72%,对照组为26.31%;术后躯干不对称角度矫正率平均为58.69%,对照组为11.10%;患者外观满意率平均为89.0%,对照组为46.0%;两组间对比差异有显著意义(P<0.01)。实验组5例术后出现胸腔积血,经胸腔引流而愈。结论辅助胸廓成型术可提高侧弯矫正率,降低刀背高度,患者外观满意度高,但是,增加了气胸、血气胸等并发症。Objective To discuss the efficacy of thoracoplasty for correction of severe and rigid idiopathic scoliosis. Methods Control study. Fifteen patients received thoracoplasty as the study group in operation and 13 did not receive thoracoplasty as the control group. The coronal Cobb angle of the major curves, the height and angle of the rib hump between both the tyro groups were compared. Results The mean correction rate of the coronal Cobb angle of the major curves, the height and angle of the rib hump was 51.16%, 51.72% and 58.69% in the study group, 45.18%, 26.31% and 11.10% in the control group, with significant difference and lowering the height of the rib hump, but accompanied by slight complications, such as hemothorax and hemopneumothorax.

关 键 词：脊柱侧弯 胸廓成型术 

分 类 号：R655.1[医药卫生—外科学] R682.3[医药卫生—临床医学]