改良V形截骨矫正胸腰椎后凸的临床应用分析 Clinic effect analysis of improved V-shaped osteotomy to correct thoraco lumbar kyphosis.pdfVIP

窑临床探讨 窑 中国现代医生 2014年8月第52卷第23期 改良V形截骨矫正胸腰椎后凸的临床应用分析 徐云峰 秦石磊 王伟平 山西省长治市云峰医院脊柱外科袁山西长治 046000 [摘要] 目的探讨改良V形截骨在矫正胸腰椎后凸的应用遥 方法选择因胸腰段后凸而行手术治疗的患者64例袁 将其分为传统组和改良组袁传统手术组30例袁男20例袁女 10例曰年龄45耀68岁遥 改良手术组34例袁男22例袁女 12例曰年龄53耀65岁遥 分析两组矫正后凸Cobb角及术后并发症遥 结果 改良组和传统组矫正后凸Cobb角无明 显差异渊P跃0.05冤袁改良组术后胃肠道并发症较传统组发生率明显降低袁差异有统计学意义渊P约0.05冤遥 结论改良V 形截骨术式可以矫正Cobb角约80毅的脊柱后凸畸形袁明显降低胃肠道及血管事件等并发症的发生遥 [关键词]V形截骨曰脊柱后凸曰胸腰段 [中图分类号] R687.3 [文献标识码] B [文章编号] 1673-9701渊2014冤23-0152-03 Clinic effect analysis of improved V-shaped osteotomy to correct thoraco lumbar kyphosis XU Yunfeng QINShilei WANG Weiping Departmentof Spine Surgery袁Yunfeng Hospitalof Changzhi CityinShanxiProvince袁Changzhi046000袁China [Abstract] Objective To explore clinic effect analysis of improved V-shaped osteotomy to correct thoracolumbar kyphosis. Methods A total of 64 patients with thoracolumbar kyphosis were divided into two groups, traditional group and improved group,the traditional surgery group of 30patients underwent the traditional V-shaped osteotomy, includ鄄 ing 20 males and 10females with an age range of 45 to 68years. Improved surgery group of 34 patients underwent the improved V-shaped osteotomy, including 22 males and 12females with an age range of 53 to 65 years. Perioperative complications and Cobb angle of kyphosis were compared between two groups. Results The improved group and tradi鄄 tional group incorrection Cobbof kyphosis had no obvious difference渊P0.05冤,the incidence ofpostoperative gastroin鄄 testinal complications in improved groupwas obviously lower than traditional group with statistical difference渊P0.05冤. Conclusion The improved V-shaped osteotomy surgery can correct thoracolumbar kyphosis with cobb angle 80毅 and the gastrointestinal complications andvascular eventscanb