儿童神经肌肉性脊柱侧弯的手术治疗及围手术期多学科管理  

Surgical treatment and perioperative multidisciplinary management of neuromuscular scoliosis in children

作　　者：漆龙涛 赵耀[1] 徐贝宇 李淳德[1] 熊晖[2] 阙呈立[3] 黄真[4] 胡晓[5] Qi Longtao;Zhao Yao;Xu Beiyu;Li Chunde;Xiong Hui;Que Chengli;Huang Zhen;Hu Xiao(Department of Orthopaedics,Peking University First Hospital,Beijing 100034,China;Department of Pediatrics,Peking University First Hospital,Beijing 100034,China;Department of Respiratory,Peking University First Hospital,Beijing 100034,China;Department of Rehabilitation,Peking University First Hospital,Beijing 100034,China;Department of Anesthesiology,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院骨科,100034 [2]北京大学第一医院儿科,100034 [3]北京大学第一医院呼吸科,100034 [4]北京大学第一医院康复科,100034 [5]北京大学第一医院麻醉科,100034

出　　处：《中国小儿急救医学》2023年第6期427-433,共7页Chinese Pediatric Emergency Medicine

摘　　要：脊柱侧弯是儿童神经肌肉病中常见的畸形,多呈现发病年龄早、畸形程度重、快速进展的特点。神经肌肉性脊柱侧弯常导致患儿生活质量严重受损,引起行走、站立和坐立等行动能力丧失以及心肺功能不全。手术治疗可以改善神经肌肉性脊柱侧弯患儿的生活质量,但由于手术复杂、合并疾病多等情况,手术治疗仍然充满挑战,且并发症远高于特发性脊柱侧弯。多学科的团队在神经肌肉性脊柱侧弯手术治疗中十分必要,能够及时、有效地处理和减少相关并发症。Scoliosis is a common deformity in neuromuscular disease,which usually has the characteristics of early onset age,severe degree of deformity,and rapid progression.Neuromuscular scoliosis often leads to serious damages to the quality of life,and results in the loss of walking,standing and sitting,and cardiopulmonary insufficiency.Surgical treatment can improve the quality of life for children with neuromuscular scoliosis,but surgical treatment is still challenging due to the complex surgery and many complicated diseases.The complications are much higher than those of idiopathic scoliosis.A multidisciplinary team is necessary in the surgical treatment of neuromuscular scoliosis to promptly and effectively reduce the complications.

关 键 词：神经肌肉性脊柱侧弯 手术 围手术期 多学科管理 儿童 

分 类 号：R746[医药卫生—神经病学与精神病学]