后路半椎体切除短节段融合治疗先天性脊柱侧弯的临床效果  

Clinical effect of posterior hemivertebral resection and short segment fusion in the treatment of congenital scoliosis

作　　者：高宗保[1] 王涛[1] GAO Zong-bao;WANG Tao(Xi'an Gaoxin Hospital, Xi'an 716000, China)

机构地区：[1]西安高新医院

出　　处：《临床医学研究与实践》2019年第25期99-100,103,共3页Clinical Research and Practice

摘　　要：目的探讨后路半椎体切除短节段融合治疗先天性脊柱侧弯(CS)的临床效果。方法选取2015年1月至2018年1月我院收治的11例CS患儿为研究对象,回顾性分析其临床资料。所有患儿均行后路半椎体切除短节段融合术进行治疗。记录患儿的手术时间、术中出血量及术后并发症情况,比较患儿术前、术后及最后一次随访的Cobb’s角,并计算术后及最后1次随访的矫正率。结果患儿的平均手术时间为(276.53±43.23)min,平均术中出血量为(960.53±110.56)mL。所有患儿均未发生严重感染、内脏损伤、神经系统损伤及脊髓损伤等并发症。最后1次随访半椎体节段侧弯、半椎体节段后凸、全主弯、头侧代偿弯及尾侧代偿弯的Cobb’s角均小于术前及术后,且术后上述指标的Cobb’s角均小于术前(P<0.05);术后及最后1次随访的矫正率均高于60%。结论后路半椎体切除短节段融合治疗先天性脊柱侧弯效果显著,可以缩短手术时间,减少术后出血量及并发症的发生,有效改善患儿的脊柱畸形情况,值得临床推广与应用。Objective To explore the clinical effect of posterior hemivertebra resection and short segment fusion in the treatment of congenital scoliosis(CS). Methods Eleven children with CS admitted in our hospital from January 2015 to January 2018 were selected as the study subjects, and their clinical data were retrospectively analyzed. All patients underwent posterior hemivertebral resection and short segment fusion. The operation time, intraoperative bleeding volume and postoperative complications were recorded, the Cobb’s angles before and after operation and at the last follow-up were compared, and the corrective rates after operation and at the last follow-up were calculated. Results The average operation time was(276.53 ±43.23) min, and the average intraoperative bleeding volume was(960.53 ±110.56) mL. No serious complications such as severe infection, visceral injury, nervous system injury and spinal cord injury occurred in all children. The Cobb’s angles of hemivertebral segmental scoliosis, hemivertebral segmental kyphosis, total main curvature,cephalic compensatory curvature and caudal compensatory curvature at the last follow-up were less than those before and after operation, and the Cobb’s angles of the above indexes after operation were less than those before operation(P<0.05);the corrective rates after operation and the last follow-up were higher than 60%. Conclusion Posterior hemivertebral resection and short segment fusionin in the treatment of congenital scoliosis has significant effect. It can shorten the operation time, reduce the intraoperative bleeding volume and the incidence of complications, and effectively improve the condition of spinal deformity in children, which is worthy of clinical promotion and application.

关 键 词：后路半椎体切除短节段融合 先天性脊柱侧弯 Cobb's角 矫正率 

分 类 号：R687.3[医药卫生—骨科学]