青少年特发性脊柱侧凸患者躯干冠状面参数与Cobb角的相关性研究  

Correlations between the coronal plane parameters of trunk and Cobb angle in adolescent idiopathic scoliosis

作　　者：郭晓琦 朱飞龙 张存刚 张明 眭益辰 朱茜[1] GUO Xiao-qi;ZHU Fei-long;ZHANG Cun-gang;ZHANG Ming;SUI Yi-chen;ZHU Qian(Department of Rehabilitation Medicine,Rehabilitation Engineering,Xuzhou Central Hospital,Jiangsu Province,Xuzhou 221009,China;Department of Pediatrics,the Affiliated Hospital of Xuzhou Medical University,Jiangsu Province,Xuzhou 221000,China;Department of Rehabilitation Medicine,the Affiliated Rehabilitation Hospital of Xuzhou Medical University,Jiangsu Province,Xuzhou 221000,China)

机构地区：[1]江苏省徐州市中心医院康复医学科,康复工程部,江苏徐州221009 [2]徐州医科大学附属医院儿科,江苏徐州221000 [3]徐州医科大学附属徐州康复医院康复医学科,江苏徐州221000

出　　处：《河北医科大学学报》2023年第7期819-823,共5页Journal of Hebei Medical University

基　　金：徐州市国家临床重点专科培育项目(2018ZK002)。

摘　　要：目的探究青少年特发性脊柱侧凸(adolescent idiopathic scoliosis,AIS)患者躯干冠状面参数与脊柱侧凸Cobb角之间的关系,希望为脊柱侧凸的早期筛查和保守治疗的监测提供一定帮助。方法选取徐州市康复医院康复工程部收治的青少年特发性脊柱单侧胸右或腰左“C”型弯患者43例,其中胸右弯患者20例,腰左弯患者23例。主要测量数据有脊柱全长X片上的Cobb角和身体外观上椎体棘突弯曲形变偏移距离(apex vertebral translocation,AVT)、弯曲顶椎至身体中线位移距离(trunk shift,TS)、身体位移比(trunk shift ratio,TSR)、椎体旋转度(apex trunk rotation,ATR),探讨AVT、TS、TSR、ATR与Cobb角之间的相关性。结果椎体棘突弯曲形变偏移距离(AVT)、弯曲顶椎至身体中线位移比(TSR)与Cobb角存在明显相关性,以AVT相关性最好(r=0.749,P<0.05),其中腰左弯患者的AVT、TSR指标与Cobb角的相关性大于胸右弯患者。腰左弯患者椎体旋转度(ATR)与Cobb角之间未见相关性(P>0.05)。结论胸椎右侧或腰椎左侧单“C”型弯患者的躯干冠状面参数与Cobb角之间存在一定的相关性。Objective To explore the relationship between the coronal plane parameters of trunk and Cobb angle of adolescent idiopathic scoliosis(AIS),for the purpose of providing assistance for early screening and monitoring of conservative treatment of AIS.Methods Forty-three AIS patients with unilateral right thoracic or left lumbar“C”-shaped curvature admitted to Department of Rehabilitation Engineering of Xuzhou Rehabilitation Hospital were selected,including 20 patients with right thoracic curvature and 23 patients with left lumbar curvature.The Cobb angle on the full length of spine X-ray,the apex vertebral translocation(AVT),trunk shift(TS),trunk shift ratio(TSR)and apex trunk rotation(ATR)degree of vertebral body in physical appearance were measured.The correlations between the AVT,TS,TSR,ATR and Cobb angle were analyzed respectively.Results The AVT and TSR were significantly correlated with Cobb angle,the AVT was better correlated with Cobb angle(r=0.749,P<0.05),and the correlation between AVT,TSR and Cobb angle was greater in patients with left lumbar curvature than in patients with right thoracic curvature.There was no correlation between ATR and Cobb angle in patients with left lumbar curvature(P>0.05).Conclusion There is a certain correlation between the coronal plane parameters of trunk and the Cobb angle in patients with unilateral right thoracic or left lumbar“C”-shaped curvature in AIS patients.

关 键 词：脊柱侧凸 COBB角 青少年 

分 类 号：R682.3[医药卫生—骨科学]