混合型生长棒技术对脊柱侧凸患者脊柱矢状面参数改变分析
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中国中铁阜阳中心医院骨一科

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Analysis of the changes of spine sagittal parameters of scoliosis patients with hybrid growth rod technique
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Department of Orthopedics China Railway Fuyang Central Hospital

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    摘要:

    摘要:[目的] 在脊柱侧凸患者中使用混合型生长棒技术,研究其对于脊柱矢状面参数改善效果的安全性与有效性。[方法] 回顾性分析2015年2月~2020年3月我院骨科收治的先天性脊柱侧凸106例,混合组患者接受混合型生长棒治疗(56例),常规组患者接受常规型生长棒治疗(50例)。[结果] 比较两组患者手术一般指标,结果表明:混合组患者的手术时间、术中出血量及住院时间等均明显低于常规组(P<0.05)。末次随访时,两组患者的视觉模拟评分法(VAS)及日本骨科学会评分(JOA)评分均明显改善,混合组患者的VAS评分明显低于常规组,而JOA评分明显优于常规组(P<0.05);混合组的不良反应发生率明显低于常规组(P<0.05);两组患者的胸椎后凸角(TK)、骨盆入射角(PI)、骨盆倾斜角(PT)、腰椎前凸角(LL)及骶骨倾斜角(SS)等矢状面平衡指标均明显改善,混合组的改善明显优于常规组(P>0.05)。[结论] 在脊柱侧凸的患者中采用混合型生长棒技术具有安全、高效、低创的应用优势,在矢状面平衡的重构及功能恢复等方面疗效满意;同时可规避手术创伤对康复的影响,避免二期手术再次矫治的必要性,存在较好的安全性和有效性。

    Abstract:

    Abstract: [Objective] To use hybrid growth rod technique in scoliosis patients to study the safety and effectiveness of improving the sagittal parameters of the spine. [Methods] A retrospective analysis of 106 cases of congenital scoliosis admitted in our hospital from February 2015 to March 2020, patients in the mixed group received mixed growth rod treatment (56 cases), and patients in the conventional group received conventional growth rods Treatment (50 cases). [Results] Comparing the general operation indexes of the two groups of patients, the results showed that the operation time, intraoperative blood loss and hospitalization time of the patients in the mixed group were significantly lower than those in the conventional group (P<0.05). At the last follow-up, the VAS and JOA scores of the two groups of patients were significantly improved. The VAS score of the mixed group was significantly lower than the conventional group, and the JOA score was significantly better than the conventional group (P<0.05); the incidence of adverse reactions in the mixed group was obvious Lower than the conventional group (P<0.05); TK, PI, PT, LL, SS and other sagittal balance indicators of the two groups were significantly improved, and the improvement of the mixed group was significantly better than the conventional group (P>0.05). [Conclusion] The use of hybrid growth rod technology in patients with scoliosis has the advantages of safe, efficient and low-invasive application, and is satisfactory in the reconstruction of sagittal balance and functional recovery; at the same time, it can avoid surgical trauma to rehabilitation Impact, to avoid the necessity of second-stage surgery to correct again, there is better safety and effectiveness.

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  • 收稿日期:2020-09-04
  • 最后修改日期:2020-09-16
  • 录用日期:2020-09-16
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