经后路截骨内固定术对低龄先天性脊柱后凸畸形患者手术时间、术中出血量及术后并发症的影响  

Effects of Posterior Osteotomy and Internal Fixation on Operation Time,Intraoperative Blood Loss and Postoperative Complications in Young Patients with Congenital Kyphosis

作　　者：宁东晨 薄德发 NING Dongchen;BO Defa(Yujiazhuang Health Center Xiaomenjia Town Penglai District Shandong Province,Shangdong Yantai 265603,China;Department of Orthopedics,Shan County Traditional Chinese Medicine Hospital,Shandong Province,Shangdong Heze 274300,China)

机构地区：[1]山东省蓬莱区小门家镇于家庄卫生院,山东烟台265603 [2]山东省单县中医医院骨科,山东菏泽274300

出　　处：《中国医药指南》2023年第27期14-17,共4页Guide of China Medicine

摘　　要：目的探讨低龄先天性脊柱后凸畸形患者应用后路截骨内固定术治疗方法,对手术用时、术中具体出血量与术后并发症造成的影响。方法选取2018年1月至2023年1月期间,我院骨科收治的临床确诊40例低龄先天性脊柱后凸畸形患者为研究对象。所有研究对象按照不同治疗方案分为对照组和观察组,每组各20例。对照组采用常规手术治疗,观察组采用经后路截骨内固定术治疗。对比两组患者的具体手术用时,手术过程中的出血情况以及术毕之后不良并发症的发生率。结果观察组的手术用时为(211±46)min,手术过程中的出血量(650±330)mL,相较对照组的手术用时及术中出血量均明显较少,两组差异显著(P<0.05);两组均在术后随访16~37个月,两组术后并发症发生率比较,对照组为20.00%(4/20),观察组为0,两组比较有统计学意义(P<0.05)。结论对低龄先天性脊柱后凸畸形患者可以行经后路截骨内固定术治疗,可以将畸形致病因去除后,对冠状面、矢状面达到较好的固定矫形效果,并且达到360°减压,称得上目前临床对先天性脊柱后凸畸形病症有效治疗的治疗方案,能够降低术后并发症发生率,保证术后疗效。Objective To investigate the effect of posterior osteotomy and internal fixation on operation time,specific intraoperative bleeding and postoperative complications in young patients with congenital Kyphosis.Methods From January 2018 to January 2023,40 young patients with congenital Kyphosis admitted to our orthopaedic department were selected as the study subjects.All study subjects were divided into control group and observation group with 20 cases in each group according to different treatment plans.The control group received routine surgical treatment,while the observation group received posterior osteotomy and internal fixation surgery.Compare the specific surgical time,bleeding during the surgery,and the incidence of adverse complications after surgery between the two groups of patients.Results The observation group had a surgical time of(211±46)minutes and a bleeding volume of(650±330)mL during the surgery,which was significantly less than the control group.The difference between the two groups was significant(P<0.05);Both groups were followed up for 16-37 months after surgery.The incidence of postoperative complications in the control group was 20.00%(4/20),while there were no postoperative complications in the observation group.The incidence of postoperative complications in the two groups was statistically significant(P<0.05).Conclusion For young patients with congenital kyphosis,posterior osteotomy and internal fixation can be performed.After removing the cause of the deformity,the coronal plane and sagittal plane can achieve a better fixed orthopedic effect,and 360°decompression can be achieved.It is worthy of the current clinical treatment scheme for congenital kyphosis,which can reduce the incidence of postoperative complications and ensure that the postoperative efficacy.

关 键 词：经后路截骨内固定术 低龄先天性脊柱后凸畸形 手术时间 术中出血量 术后并发症 

分 类 号：R681.5[医药卫生—骨科学]