特发性脊柱侧弯椎旁肌改变术前与术后的对比研究  

Preoperative and Postoperative Comparison of Pathologic Changes for Paravertebral Muscles in Idiopathic Scoliosis

作　　者：陈晓春[1,2] 贾长青[1,2] 吴振东[1,2] 

机构地区：[1]中国医科大学第三临床学院骨外科 [2]沈阳医学院附属中心医院骨外科

出　　处：《中国医科大学学报》1999年第2期131-133,共3页Journal of China Medical University

摘　　要：目的：为明确特发性脊柱侧弯椎旁肌改变与脊柱畸形的因果关系。方法：对术前、术后患者椎旁肌进行组织化学及超微结构的研究。结果：术后Ｃｏｂｂ′ｓ角小于５０°的患者椎旁肌基本正常；而Ｃｏｂｂ′ｓ角仍大于５０°者椎旁肌仍存在明显的病理改变，与术前患者相似。结论：特发性背柱侧弯椎旁肌病变是继发的，早期诊断、早期治疗有利于中止椎旁肌的继发性病变，使其得以最大限度的恢复。Objective: We were to explore the causal relationship between paravertebral muscles changes and idiopathic scoliosis. Methods: Histochemical and ultramicrostructurel studies were made in paravertebral muscles of patients with idiopathic scoliosis both preoperatively and postoperatively.For patients with Cobb′s angle below 50 degree their paravertebral muscles recovered well after operation. For those with Cobb′s angle over 50 degrees their postoperative muscular disorder remained similar to preoperative conditions .Conclusion: Paravertebral muscular changes are secondary to idiopathic scoliosis.Early diagnosis and prompt treatment not only favour correcting the deformity but also benefit the balanced growth of paravertebral muscles.

关 键 词：背柱侧弯 肌肉 病理 外科手术 IS 

分 类 号：R682.305[医药卫生—骨科学]