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[通过改良术前悬吊X线片的Cobb角评估脊柱侧弯手术矫正程度]

[Evaluation of operative corrigent degree of scoliosis by improved Cobb's angle degree of preoperative suspensive roentgenogram].

作者信息

Ren Y, Zhu Q, Zhuo H

机构信息

Peking Union Medical College Hospital, Beijing.

出版信息

Zhonghua Yi Xue Za Zhi. 1995 Sep;75(9):545-7, 575.

PMID:8556547
Abstract

To achieve best operative result in correction of scoliosis, and avoid complications of the nerve system due to excess correction, we compared the statistical results of modified Cobb's degree of preoperative suspensive roentgenogram and operative corrigent degrees of 331 patients with scoliosis, including 219 with idiopathic scoliosis. The modified Cobb's degrees of the whole group was 20.15 +/- 9.41 in suspension, the operative corrigent degree was 35.34 +/- 13.05, and the operation-suspension difference was 14.62 +/- 11.02. Referring to idiopathic scoliosis, it was 21.79 +/- 8.39, 37.44 +/- 11.82, 15.58 +/- 9.91 respectively. And the statistacal study was performed according to scoliosis type, involved segments, curvature degree, and ages. The parameters were very helpful in the evaluation of currigent effect before operation.

摘要

为在脊柱侧弯矫正中获得最佳手术效果,并避免过度矫正导致的神经系统并发症,我们比较了331例脊柱侧弯患者(包括219例特发性脊柱侧弯患者)术前悬吊X线片改良Cobb角度数与手术矫正度数的统计结果。全组患者悬吊时改良Cobb角度数为20.15±9.41,手术矫正度数为35.34±13.05,手术与悬吊的差值为14.62±11.02。对于特发性脊柱侧弯,上述数值分别为21.79±8.39、37.44±11.82、15.58±9.91。并且根据脊柱侧弯类型、受累节段、弯曲程度和年龄进行了统计学研究。这些参数对术前评估矫正效果非常有帮助。

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