后路半椎体切除矫治先天性脊柱侧后凸临床疗效分析.docVIP

后路半椎体切除矫治先天性脊柱侧后凸临床疗效分析 　　[摘要] 目的 探讨后路半椎体切除矫治先天性脊柱侧后凸的临床疗效。 方法 选取该院收治的先天性脊柱侧后凸患者50例，全部患者均行后路半椎体切除矫治术治疗，比较术前、术后，X线片中测量的侧凸Cobb角、后凸Cobb角，分析后路半椎体切除矫治术治疗的临床效果。 结果 全部50例患者，术后侧凸Cobb角（10.4±2.3）°，明显小于术前侧凸Cobb角（52.5±6.6）°，比较差异有统计学意义（P0.05）；术后后凸Cobb角（8.3±1.6）°，明显小于术前后凸Cobb角（31.9±5.2）°，比较差异有统计学意义（P0.05）。 结论 后路半椎体切除矫治先天性脊柱侧后凸具有明显的手术效果，患者术后侧、后凸Cobb角均得到了较好的矫正，临床效果明显，值得临床上推广应用。 　　[关键词] 先天性脊柱侧后凸；半椎体切除矫治；后路；临床疗效 　　[中图分类号] R687.3 [文献标识码] A [文章编号] 1674-0742（2015）05（b）-0053-02 　　Analysis of Clinical Effect of Excision Correction of Rear Half Centrum for Congenital Spine Rear Flank Convex 　　YE Mao 　　Department of Orthopaedics Surgery， Xiaochang No.1 Peoples Hospital， Xiaogan， Hubei Province，432900 China 　　[Abstract] Objective To discuss clinical effect of excision correction of rear half centrum for congenital spine rear flank convex. Methods 10 cases of patients with the congenital spine flank convex who were received and cured in our hospital were selected and the excision correction of rear half centrum was adopted to cure all of them. The lateral convex and real convex Cobb angles measured in X-ray before and after operation were compared to analyze the clinical effect of excision correction of rear flank half centrum. Results For all the 10 patients， the postoperation Cobb angle is（10.4±2.3）°， which was obviously smaller than the preoperative one（52.5±6.6）°. The difference before and after operation has statistical significance （P0.05）； the postoperation rear convex Cobb angle was （8.3±1.6）°and obviously smaller than the preoperative one （31.9±5.2）°， and the difference has statistical significance（P0.05）. Conclusion The excision correction of rear half centrum for congenital spine rear flank convex has good and apparent operation results as the rear flank and convex Cobb angles of patients after operation are well corrected. The clinical effect is obvious， so it is worth being promoted clinically. 　　[Key words] Congenital spine rear flank convex； Excision correction of half