早发性脊柱侧弯的非手术治疗进展  

Progress in Non-surgical Treatment of Early Onset Scoliosis

作　　者：张皓鑫 胡必庚 王迎松[1] ZHANG Haoxin;HU Bigeng;WANG Yingsong(Dept.of Orthopedics,The Second Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650032,China)

机构地区：[1]昆明医科大学第二附属医院骨科,云南昆明650032

出　　处：《昆明医科大学学报》2023年第6期143-149,共7页Journal of Kunming Medical University

基　　金：国家自然科学基金资助项目(81960413);云南省科技人才与平台计划(202205AF150009)。

摘　　要：早发性脊柱侧弯(early-onset scoliosis,EOS)是一种儿童的三维脊柱畸形。目前临床主要的治疗方法包括随访、手术治疗和非手术治疗,而非手术治疗能延缓、控制病情进展,为生长发育以及手术治疗争取时间。石膏治疗、牵引治疗及脊柱侧弯专项运动均为临床应用多年非手术治疗方式。随技术和治疗思路进步,对EOS非手术治疗方式提供了新的思路,例如:治疗作用方式及作用部位的改变、药理学研究、心理健康监测等。现将早发性脊柱侧弯的非手术治疗方法及进展新思路综述如下。Early-onset scoliosis(EOS)is a three-dimensional spinal deformity in children.At present,the main clinical treatment methods include follow-up,surgical treatment and non-surgical treatment,while nonsurgical treatment can delay and control the progression of the disease and buy time for growth and development as well as surgical treatment.Serial casting,traction therapy and targeted exercise for scoliosis are all non-surgical treatments that have been used in clinical practice for many years.With the progress of technology and treatment,new ideas have been provided for the non-surgical treatment of EOS,such as the change of treatment mode and site of action,pharmacological research,mental health monitoring,etc.This article summarizes the nonsurgical treatment methods and new ideas for the development of early onset scoliosis.

关 键 词：早发性脊柱侧弯 非手术治疗 系列石膏矫正 支具 

分 类 号：R682.3[医药卫生—骨科学]