王渭君;王智伟;刘臻;朱泽章;朱锋;王斌;邱勇;

• 1:南京大学医学院附属鼓楼医院脊柱外科

摘要(Abstract)：

[目的]比较男性和女性AIS患者脊柱及骨盆矢状面形态的差异,探讨AIS患者自然史性别差异的可能原因。[方法]研究收集48例男性和104例女性AIS患者的站立位、侧位X线片。所有患者均未经治疗且需要手术矫形。在侧位X线片上测量胸椎后凸(thoracic kyphosis,TK)、胸腰段后凸(thoracolumbar kyphosis,TL)、腰椎前凸(lumbar lodorsis,LL)、骨盆倾斜角(pelvic tilt,PT)、骶骨倾斜角(sacral slope,SS)及骨盆投射角(pelvic inci-dence,PI)。采用成组t检验比较两组间的差异,并用Peason相关分析骨盆参数和脊柱参数间的相关性。[结果]两组患者年龄、骨龄、侧凸类型及严重性无明显差异。女性AIS患者TL及PI分别为(3.0±10.4)°和(45.2±11.0)°,男性患者则分别为(-0.9±10.5)°和(41.4±11.7)°,两组间差异有统计学意义(P<0.05)。两组患者的TK、LL、PT和SS均无统计学差异。两组患者的PI均与PT、SS、TL和LL显著相关,TK与LL相关性有统计学意义(P<0.05)。[结论]男性AIS患者的PI值明显低于女性,表明两者可能存在不同的生长发育模式;男性患者的TL较女性患者低,提示女性AIS胸腰段的稳定性可能较男性患者差。这些差异均可能与AIS侧凸进展的性别差异有关。

关键词(KeyWords)： 特发性脊柱侧凸;骨盆投射角;性别;侧凸进展

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学基金青年基金项目(编号:81101335)

作者(Author): 王渭君;王智伟;刘臻;朱泽章;朱锋;王斌;邱勇;

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DOI:

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