[1]孙武 朱立国△ 高景华 杨克新 高春雨 银河.根据症状特点选择术式治疗退行性脊柱侧凸的3～7年随访[J].中国中医骨伤科杂志,2019,27(02):9-12.
　SUN Wu ZHU Liguo GAO Jinghua YANG Kexin GAO Chunyu YIN He.The 3～7 Years Follow-up of Different Surgical Treatment forDegenerative Scoliosis Based on Symptom Characteristics[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2019,27(02):9-12.
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根据症状特点选择术式治疗退行性脊柱侧凸的3～7年随访()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第27卷
期数:
2019年02期
页码:
9-12
栏目:
临床研究
出版日期:
2019-02-15

文章信息/Info

Title:
The 3～7 Years Follow-up of Different Surgical Treatment forDegenerative Scoliosis Based on Symptom Characteristics
文章编号:
1005-0205(2019)02-0009-04
作者:
孙武1 朱立国1△ 高景华1 杨克新1 高春雨1 银河1
1中国中医科学院望京医院(北京,100102)
Author(s):
SUN Wu1 ZHU Liguo1△ GAO Jinghua1 YANG Kexin1 GAO Chunyu1 YIN He1
1Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102,China.
关键词:
退行性脊柱侧凸;  症状特点;  脊柱融合术;  中期随访
Keywords:
degenerative scoliosis;  symptom characteristics;  spinal fusion;  mid-term follow-up
分类号:
R681.5
文献标志码:
A
摘要:
评估依据症状特点选择术式治疗退行性脊柱侧凸的3～7年随访结果。方法:61例退行性脊柱侧凸患者,依据症状分为A组(腰背痛为主)20例,行长节段矫形内固定术; B组(下肢根性症状为主)41例,行责任节段减压内固定术。采用VAS评分、ODI量表评估疼痛和功能改善情况。结果:随访39～79个月,平均55.5个月; 两组末次随访时VAS和ODI评分与术前相比差异有统计学意义(P<0.05),组间比较差异有统计学意义(P<0.05),A组优于B组。围手术期A组出现并发症2例,末次随访时B组出现邻近节段退变14例。结论:3～7年随访发现:依据症状选择术式治疗退行性脊柱侧凸,长节段组疗效优于责任节段组; 责任节段组邻近节段退变发生率较高,其远期疗效仍需进一步观察。
Abstract:
To evaluate the 3～7 years follow-up results of different surgical treatment for degenerative scoliosis based on symptom characteristics.Methods:61 degenerative scoliosis patients were divided into two groups according on clinical symptoms. Group A(the main symptom is low back pain)has 20 cases, performed long segment internal fixation and correction; group B(the main symptoms lower limbs discomforts)has 41 cases, performed posterior responsibility segments decompression and fusion. The VAS score, Oswestry disability index(ODI)were used to evaluated the clinical outcomes. Results:After 3～7 years follow-up, the two groups’ VAS, ODI scores compared with before were statistically significant(P<0.05), the two groups’ VAS, ODI scores compared with each other were statistically significant(P<0.05). Complications occurred in 2 cases in group A during perioperative period and 14 cases in group B at the last follow-up. Conclusion:The 3～7 years follow-up results show that the effect of long segment group is reliable; the incidence of adjacent segment degeneration of responsibility segment group is higher,so its long-term effect still needed to be further observed.

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备注/Memo

备注/Memo:
1中国中医科学院望京医院(北京,100102)△通信作者 E-mail:zhlg95@aliyun.com
更新日期/Last Update: 2019-02-15