尹承慧;符臣学;徐皓;叶永平;

• 1:南京军区福州总医院骨科研究所

摘要(Abstract)：

[目的]总结经腰椎椎弓根截骨结合内固定在AS脊柱后凸畸形矫正中的疗效和并发症。[方法]自1998年～2007年间采用经腰椎椎弓根截骨结合内固定对54例AS脊柱后凸畸形患者手术治疗。术后随访48例,随访6～36个月,平均15个月。测量术前和术后颌眉垂线角和后凸Cobb’s角度。针对姿势、视野和疼痛改善的程度对患者疗效进行评价,疗效分为:优、良、可、差。[结果]平均颌眉垂线角由术前59°矫正至术后16°,Cobb’s角度由术前43°矫正至术后11°。重心前移、双目视野、消化道和呼吸道症状也可得到明显改善。本组末次随访时,优45例(93.75%),良3例(6.25%),无疗效可、差病例。[结论]经腰椎椎弓根截骨结合内固定是AS脊柱后凸畸形安全有效的治疗手段,具有效果确切、操作简单、并发症少等优点。

关键词(KeyWords)： 强直性脊柱炎;后凸畸形;截骨术

Abstract:

Keywords:

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作者(Author): 尹承慧;符臣学;徐皓;叶永平;

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参考文献(References)：

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