改良哈氏手术治疗脊柱侧凸10例体会  

Treatment of 10 cases of Scoliosis with Modified Harrington Technique.

作　　者：和宪正[1] 秦建中[1] 董树理[1] 

机构地区：[1]空军总医院骨科

出　　处：《中国矫形外科杂志》1990年第2期73-75,125-126,共5页Orthopedic Journal of China

摘　　要：我们从1983年5月开始治疗脊柱侧凸,多数用哈氏术,少数用卢氏术,对哈氏术作了三点改进:(1)病人取侧卧位作手术,凸处对准手术床上的桥板。(2)用调床法矫正侧凸,术中先调床呈拱桥形,使躯体两端借体重下垂矫正,不仅能达到0°,还能超过0°,效果显著,符合力学原理。有8例效果优于扩张器法。(3)分段作切口,减少了出血。From May 1983, we began to treat scoliosis, most of them treated with Harrington technique, others with Luque technique.Modified Harrington technique were marked in 3 points. (1)During operation, to place patient on the convex side of the spine on the curve of univeres operating table. (2)We applied the method of adjusting operating table, to rectify scoliosis during operation.We humped up table to correct scoliosis by weight of the patient body.The spinal curve not only could be corrected to O degree, but also exceed 0. bring about a good effect and according with the principle of mechanics. The result of 8 cases were better than that of Harrington's dilator. (3)We made sections of incison separately, to minimize bleeding.

关 键 词：脊柱侧凸 扩张器 生物力学原理 力学分析 桥形 桥板 骨膜下剥离 下椎体 术中输血 关节突 

分 类 号：R62[医药卫生—整形外科]