种摄片方法预测青少年特发性脊柱侧凸矫形结果的对比研究.docxVIP

3种摄片方法预测青少年特发性脊柱侧凸矫形结果的对比研究(1)【摘要】?评估术前站立位、支点弯曲位、重力悬吊牵引位和仰卧侧屈位X线片在预测青少年特发性脊柱侧凸三维矫形融合术效果的价值。［方法］对63例青少年特发性脊柱侧凸患者的79个结构性侧凸摄术前站立位、支点弯曲位、重力悬吊牵引位和仰卧侧屈位X线片，将其与术后的站立位X线片比较，测量全部Cobbs角后进行统计学处理，并评估其价值。［结果］结构性胸凸组与结构性腰凸组重力悬吊牵引位片Cobbs角分别是40°和21°，仰卧侧屈位片Cob捡bs角分别是41°和2厥3°，支点弯曲位片Cob憝bs角分别是35°和1黑9°，术后站立位片Cob嚓bs角分别是36°和1显8°；重度组与中度组重力Ρ悬吊牵引位片Cobbs戡角分别是52°和23°，狎仰卧侧屈位片Cobbs角分别是53°和24°，徂支点弯曲位片Cobbsь角分别是47°和20°，认术后站立位片Cobbs佩角分别是44°和19°；晨僵硬组与柔软组重力悬吊牵榧引位片Cobbs角分别Л是51°和22°，仰卧侧妲屈位片Cobbs角分别磁是52°和22°，支点弯∥曲位片Cobbs角分别鸱是48°和18°，术后站立位片Cobbs角分别蜮是45°和17°；前路手术组与后路手术组重力悬吊辟牵引位片Cobbs角分别是47°和15°，仰卧侧屈位片Cobbs角分迫别是49°和16°，支点礴弯曲位片Cobbs角分藉别是43°和11°，术后欹站立位片Cobbs角分牧别是42°和10°，以上角度均为平均值。平均随访旗时间是年。［结论］支点弯芡曲位X线片比重力悬吊牵引怼位和仰卧侧屈位X线片能更Γ准确地预测术后矫正效果，并能为选择前路或后路术式襻，以及融合节段提供依据。【关键词】?青少年特发性泫脊柱侧凸影像学柔韧性脊柱梭融合Comparati帛veanalysisofthreeradiogr椎aphicwayinpredictionofco揣rrectionofad蛞olescentidioざpathicscolioｉsis∥CHENQing涅he,ZHOUYue,鲻GAOJichang,锟etOrthopaedi鳏cDepartmento巷fXinqiaoHosp亲italoftheThi迎rdMilitaryMe留dicalUnivers纶ity,Chongqin恸g400037,Chin沛aAbstract：［Objective］Toⅸevaluatetherのoleofthreera√diographicwa纯ysinpatients舌undergoingsp劁inalthreedi瑭mensionalcorrectionandfu荭sionforadole睦scentidiopathicscoliosis.［Method］Six窒tythreecase卦sofadolescen念tidiopathicsずcoliosiswith裒79structural谒curveswereXrayofstandin董g,gravitysu麒spendigtractヌion,supinebe龅ndingandfulc漭rumbendingwe佴recomparedwiヴthpostoperat酣ivestandingX眉rayoneweeka潲ftersurgery,蝻CobbsangleofallXraywer荥emeasuredand儿statisticalsignificancewasevaluated.［Result］Inst铊ructuralthor嘌acicgroupand洄lumbargroupt跏hemeanCobbsanglewere40°愎and21°ingrav撞itysuspendi硒gtractionXr修ay,41°and23°≮insupinebend癯ingXray,35°堡and19°infulc撷rumbendingX汞ray,36°and18轰°inpostopera侨tivestanding瘦Xraysevereg剁roupandmoderategroupthem貌eanCobbsang≥lewere52°and髂23°ingravity徨suspendigtr格actionXray,蔚53°and24°ins颅upinebendingXray,47°and躔20°infulcrum噎bendingXray燧,44°and19°in授postoperativ蜷estandingXr饭ayrigidgroup稗andflexibleg│roupthemeanCobbsanglewe蕺re51°and22°i功ng