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青少年特发性脊柱侧凸患者美容效果的量化评估

Quantification of cosmesis for patients affected by adolescent idiopathic scoliosis.

作者信息

Iwahara T, Imai M, Atsuta Y

机构信息

Department of Orthopedic Surgery, Asahikawa Medical College, Nishikagura, Japan.

出版信息

Eur Spine J. 1998;7(1):12-5. doi: 10.1007/s005860050020.

Abstract

The aim of this study was to quantify cosmesis for patients affected by adolescent idiopathic scoliosis. Eight nonmedical judges were asked to examine photographs of 40 patients with adolescent idiopathic scoliosis, and to score the cosmesis of their backs without any information. Various parameters were measured from radiographs, Moiré topographies, and physical measurements of patients, and these were compared with the cosmetic scores of the judges. The judges' scoring proved to be reliable. The cosmetic scores showed a significant correlation with the Cobb angle, hump severity, asymmetry of the waist line, circumference of the chest, and obesity. Multivariate analysis produced equations to calculate the cosmetic score for the back. This equation is thought to have a useful clinical application.

摘要

本研究的目的是对青少年特发性脊柱侧凸患者的美容效果进行量化。邀请了八位非医学评委检查40例青少年特发性脊柱侧凸患者的照片,并在没有任何信息的情况下对其背部的美容效果进行评分。从患者的X光片、莫尔条纹地形图和身体测量中测量了各种参数,并将这些参数与评委的美容评分进行比较。评委的评分被证明是可靠的。美容评分与 Cobb 角、驼背严重程度、腰线不对称、胸围和肥胖程度显著相关。多变量分析得出了计算背部美容评分的方程。该方程被认为具有有用的临床应用价值。

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