后路脊椎截骨治疗先天性脊柱侧凸合并脊髓纵裂畸形  

The application of organizational separation technology under endoscopic on the treatment of abdominal incisional hernia

作　　者：汪闻远 晋大祥[2] 

机构地区：[1]澳门科技大学中医系,澳门519070 [2]广州中医药大学第一附属医院骨二科,广州510405

出　　处：《现代仪器与医疗》2017年第2期116-118,共3页Modern Instruments & Medical Treatment

摘　　要：目的:分析后路脊椎截骨治疗先天性脊柱侧凸合并脊髓纵裂畸形的效果与安全性,总结治疗体会。方法:2013年1月至2016年1月行后路脊柱截骨术的17例先天性脊柱侧凸合并脊髓纵裂畸形患者,记录其手术情况及术后并发症发生情况,于术后6月、12月随访观察影像学指标变化,于12个月进行全部患者脊柱裂神经功能评分(SBNS)、疼痛患者疼痛视觉模拟评分(VAS)。结果:17例患者手术均顺利完成,术后共2例患者发生并发症,对症处理后均痊愈。与术前比较,末次随访全部患者SBNS评分、疼痛患者VAS评分均明显下降,冠状面主弯Cobb角、矢状面后凸Cobb角、冠状位躯干偏移及矢状位躯干偏移亦明显下降,差异均有统计学意义(P<0.05)。结论:后路脊椎截骨治疗先天性脊柱侧凸合并脊髓纵裂畸形的安全性良好,在保证侧凸矫形率、促进神经功能恢复方面效果确切。Objective:The objective of this study was to explore the difference of organizational separation technology under endoscopic and traditional open hernia repair on the treatment of abdominal incisional hernia.Methods:A total of96abdominal incisional hernia patients under general anesthesia were randomly divided into A and B group,with each group48cases.A group was given traditional treatment while B group was provided with organizational separation technology under endoscopic.The operative time,bleeding volume,postoperative feeding time,length of stay,hospitalizing fee,recurrence rate and complication incidence were compared between two groups.Results:The difference of operative time and hospitalizing fee of two groups was not statistically significant(P>0.05).the bleeding volume,postoperative feeding time,and length of stay of B group were less than that of A group and the difference was statistically significant(P<0.05).The recurrence rate and complication incidence of B group were significantly lower than that of A group and the difference was statistically significant(P<0.05).Conclusions:Comparing to the traditional treatment,the treatment of organizational separation technology under endoscopic is capable of decreasing the bleeding volume,shortening the postoperative feeding time,cutting down the length of stay,recurrence rate and complication incidence without increasing the hospitalizing time and operation fee.

关 键 词：后路脊椎截骨 先天性脊柱侧凸 脊髓纵裂畸形 纵隔 

分 类 号：R682.1[医药卫生—骨科学]