强直性脊柱炎后凸畸形的外科治疗  

Ankylosing spondylitis surgical treatment of after convex deformity

作　　者：刘勇[1] 吴叶[2] 曹峥[2] 高二龙 

机构地区：[1]中国航天科工集团七三一医院外二科,北京100074 [2]解放军总医院第一附属医院骨二科,北京100048

出　　处：《中国现代医生》2013年第32期139-140,共2页China Modern Doctor

摘　　要：目的 探讨外科手术治疗强直性脊柱炎后凸畸形的临床疗效.方法 选择我院骨科收治的强直性脊柱炎后凸畸形患者38例,按照患者意愿分为两组,多节段截骨组行多节段楔形截骨,单椎体截骨组行稚弓根V型截骨,术后随诊1～3年,观察所有患者的近期疗效.结果 多节段截骨组平均增高（7.4±1.2）cm,手术时间平均（4.2±0.5）h,术中出血平均（2108±106）mL,明显优于单椎体截骨组;随访所有患者均达到骨性融合,无一例感染、瘫痪、死亡等.结论 多节段截骨手术治疗强直性脊柱炎后凸畸形疗效确切,可有效改善后凸畸形.Objective To explore the surgical treatment of ankylosing spondylitis the clinical curative effect of protru- sion deformity after. Methods Choice of protrusion deformity after ankylosing spondylitis patients admitted in our hos- pital orthopaedic 38 cases, according to the wishes are divided into two groups, patients with multiple segmental bone cutting group s line wedge bone cutting, single vertebral body bone cutting line group pedicle v-shaped cut bone, post- operative follow-up of 1 to 3 years, and observe all patients with a recent curative effect. Results Segmental bone cut- ting groups more increased an average of 7.4＋/-1.2 cm, operation time on average 4.2＋/-0.5 h, !ntraoperative bleeding an average of 2108＋/-106 ml, is superior to single vertebral body bone cutting groups, follow-up of all patients to achieve bony fusion, and no infection, paralysis, and death. Conclusion Multiple segmental bone cutting convex defor- mity after surgical treatment of ankylosing spondylitis curative effect, can effectively improve the protrusion deformity.

关 键 词：强直性脊柱炎 后凸畸形 椎弓根椎体楔形截骨 外科治疗 

分 类 号：R682.3[医药卫生—骨科学] R593.23[医药卫生—外科学]