根据椎体夹角选择术式治疗退行性脊柱侧凸的短期观察  

Short-term Observation of Surgical Option Based on Cobb Angle for Degenerative Scoliosis

作　　者：刘建雄[1] 薛为民[1] 孙润芳[1] LIU Jianxiong;XUE Weimin;SUN Runfang(Department of Spine Surgery,Shanxi Provincial Hospital of Traditional Chinese Medicine,Taiyuan 030012,China)

机构地区：[1]山西省中医院,太原030012

出　　处：《中国中医骨伤科杂志》2020年第12期40-43,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:比较长节段与短节段融合内固定治疗退行性脊柱侧凸的短期疗效。方法:观察2017年7月1日至2019年7月31日手术融合固定的60例退行性脊柱侧凸患者,根据患者术前椎体夹角(Cobb角)分组,Cobb角≥25°为A组,Cobb角<25°为B组。其中A组24例,B组36例,A组行长节段融合内固定,B组行短节段融合内固定,术后1周及1年采用VAS评分、ODI评分、Cobb角对患者临床疗效进行评价。结果:B组患者手术时间、术中出血量、术后引流量均明显少于A组,差异有统计学意义(P<0.05);两组患者术后的VAS评分、ODI评分、Cobb角较术前均有明显改善,B组Cobb角术后改善较A组差,差异有统计学意义(P<0.05)。结论:两种手术方法均能取得满意的短期疗效,长节段融合内固定术侧凸的矫正优于短节段融合内固定术,长期疗效有待进一步随访观察。Objective:To compare the short-term clinical efficacy of long and short-segment fusion with internal fixation for degenerative scoliosis(DS). Methods:60 patients with DS underwent long and short-segment fusion with internal fixation from July 1, 2017 to July 31, 2019. The patients were divided into two groups according to the preoperative Cobb angle. The Cobb angle was greater than 25° named group A(24 cases), and the Cobb angle was less than 25° named group B(36 cases). Group A underwent long-segment fusion and internal fixation, and group B underwent short-segment fusion and internal fixation. VAS, ODI score and Cobb angle were documented to evaluate the clinical efficacy.Results:The operation time, intraoperative blood loss, and postoperative drainage volume of group B were significantly less than those of group A. The postoperative VAS, ODI score and Cobb angle of the two groups were significantly improved as compared with that of preoperative document. The postoperative improvement of Cobb angle in group B was lower as compared with that of group A. Conclusion:Both surgical options can achieve satisfactory short-term clinical efficacy. Long-segment fusion is better than short-segment fusion with internal fixation in correction of scoliosis. The long-term efficacy still needs further observation.

关 键 词：退变性疾病 脊柱侧凸 短期疗效 术后并发症 

分 类 号：R681.5[医药卫生—骨科学]