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儿童主动脉缩窄开胸术后的脊柱侧弯

Scoliosis in children after thoracotomy for aortic coarctation.

作者信息

Van Biezen F C, Bakx P A, De Villeneuve V H, Hop W C

机构信息

University Hospital Rotterdam, The Netherlands.

出版信息

J Bone Joint Surg Am. 1993 Apr;75(4):514-8. doi: 10.2106/00004623-199304000-00006.

DOI:10.2106/00004623-199304000-00006
PMID:8478380
Abstract

A follow-up study was performed to assess the prevalence of scoliosis in 160 patients in whom aortic coarctation had been treated operatively through a left posterolateral incision in the fourth intercostal space. Scoliosis had not been seen in any patient before the thoracotomy, but a scoliosis of 10 degrees or more was observed in thirty-five patients (22 per cent) at the follow-up examination, which was performed an average of seven years after the thoracotomy. The scoliosis was a thoracic curve and was directed to the left in twenty-six of the thirty-five patients. Most of the curves were mild (between 10 and 20 degrees) and hardly progressed during the follow-up period. The high-risk period for the onset of scoliosis began about three years after the operation. The prevalence of scoliosis did not correlate significantly with the age or sex of the patients.

摘要

进行了一项随访研究,以评估160例经第四肋间左后外侧切口行主动脉缩窄手术治疗患者的脊柱侧弯患病率。开胸手术前,所有患者均未发现脊柱侧弯,但在平均开胸手术7年后的随访检查中,35例患者(22%)出现了10度或以上的脊柱侧弯。脊柱侧弯为胸弯,35例患者中有26例向左弯曲。大多数侧弯较轻(10至20度之间),在随访期间几乎没有进展。脊柱侧弯发病的高危期始于术后约三年。脊柱侧弯的患病率与患者的年龄或性别无显著相关性。

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