后路半椎體切除矯治先天性脊柱側后凸的臨床療效分析

葉茂

[摘要] 目的 探討后路半椎體切除矯治先天性脊柱側后凸的臨床療效。 方法 選取該院收治的先天性脊柱側后凸患者50例，全部患者均行后路半椎體切除矯治術治療，比較術前、術后，X線片中測量的側凸Cobb角、后凸Cobb角，分析后路半椎體切除矯治術治療的臨床效果。 結果 全部50例患者，術后側凸Cobb角（10.4±2.3）°，明顯小于術前側凸Cobb角（52.5±6.6）°，比較差異有統計學意義（P<0.05）；術后后凸Cobb角（8.3±1.6）°，明顯小于術前后凸Cobb角（31.9±5.2）°，比較差異有統計學意義（P<0.05）。 結論 后路半椎體切除矯治先天性脊柱側后凸具有明顯的手術效果，患者術后側、后凸Cobb角均得到了較好的矯正，臨床效果明顯，值得臨床上推廣應用。

[關鍵詞] 先天性脊柱側后凸；半椎體切除矯治；后路；臨床療效

[中圖分類號] R687.3 [文獻標識碼] A [文章編號] 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 People's 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 （P<0.05）； 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（P<0.05）. 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 centrum； Rear； Clinical effect

先天性脊柱側凸是一種常見的先天性記住發育畸形疾病，其多由胚胎期脊柱生長發育過程中，分節障礙或椎體發育異常所致。由于脊柱兩側的生長發育不平衡而出現側凸，其病變隨年齡增長而進行性加重。據統計發現，先天性脊柱側凸占先天性脊柱畸形的45%左右，嚴重影響著患者的身心以及日常生活，嚴重者可并發心、肺功能不全。先天性脊柱側凸具有畸形重、側凸僵硬、矯形困難、并發癥多等臨床特點[1-2]。目前臨床上多采取有效的早期手術治療先天性脊柱側凸畸形。目前常用的手術方式有原位融合術、凸側骨骺阻滯術等，但是經后路半椎體切除矯治術作為一種新的治療方式，在近年的臨床應用中取得了較好的臨床效果[3]，該研究隨機選取2013年9月—2014年9月間于該院收治的先天性脊柱側后凸患者50例，統計觀察經后路半椎體切除矯治術治療先天性脊柱側凸的臨床療效，現報道如下。

1 資料與方法

1.1 一般……