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哈林顿法治疗脊柱侧弯后肺功能的改善(作者译)

[The improvement of pulmonary function after scoliosis treatment via Harrington's method (author's transl)].

作者信息

Henche H R, Morscher E, Rutishauser M

出版信息

Z Orthop Ihre Grenzgeb. 1977 Dec;115(6):816-20.

PMID:602373
Abstract

53 spine fusions using Harrington's method were performed in adolescents (average age 14 years) between 1966 and 1972. Follow-up examination at early intervals showed that the values for pulmonary function, particularly the vital capacity, are lower one year after operation but then definitely increase in the following years. The percentual increase is not statistically significant. The evaluation must take into account, however, that the normal values for pulmonary function in these patients increase markedly because they become 4--5 cm taller on operation. Spine fusions using Harrington's method not only prevent deterioration of pulmonary function but also lead to its improvement. Further evaluations should be carried out to discover to what degree scoliotic patients are trainable without increasing the danger of pulmonary vascular obstruction.

摘要

1966年至1972年间,对青少年(平均年龄14岁)采用哈林顿方法进行了53例脊柱融合手术。早期随访检查显示,术后一年肺功能值,尤其是肺活量较低,但在随后几年肯定会增加。百分比增加无统计学意义。然而,评估必须考虑到这些患者的肺功能正常值明显增加,因为他们术后身高增加了4至5厘米。采用哈林顿方法进行脊柱融合不仅可防止肺功能恶化,还能使其得到改善。应进一步评估,以发现脊柱侧弯患者在不增加肺血管阻塞风险的情况下可训练的程度。

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引用本文的文献

1
Cardiac and respiratory function before and after spinal fusion in adolescent idiopathic scoliosis.青少年特发性脊柱侧弯患者脊柱融合术前及术后的心脏和呼吸功能
Thorax. 1979 Oct;34(5):658-61. doi: 10.1136/thx.34.5.658.