唐翔宇;张永刚;郑国权;施新革;赵永飞;张国莹;张雪松;王岩;

• 1:解放军总医院骨科专科医院脊柱外科

摘要(Abstract)：

[目的]对新定义的肩部影像学参数进行分析,进一步研究青少年特发性脊柱侧弯患者(adolescent idiopathicscoliosis,AIS)肩部影像学与肩部外观的相关性。[方法]选取本院接受治疗的连续35例含主胸弯青少年特发性脊柱侧弯患者,Lenke 1型21例,Lenke 2型14例,主胸弯Cobb角平均(48±7.3)°,上胸弯Cobb角平均(21±4.5)°。均拍摄自然站立位脊柱X线片及肩背部外观照,量取肩部影像学参数T1倾斜角、锁骨角、锁骨胸廓交点差、喙突高、锁骨差1、锁骨差2,及两个肩部外观参数临床肩高1、临床肩高2。对肩部影像学参数与外观参数分别进行相关分析,探讨锁骨差1、锁骨差2与肩部外观的相关性。[结果]除T1倾斜角外,所研究的影像学参数与外观参数显示明显的相关性(P<0.05);但仅有锁骨差1与临床肩高2、锁骨差2与两个外观参数有较高的相关关系(r>0.80),其中锁骨差2与临床肩高2显示最强的相关关系(P<0.01,r=0.97);临床肩高2较临床肩高1与肩部影像学参数显示更强的相关性。[结论]肩部影像学参数锁骨差2可以更好反映临床外观肩高,参考影像学资料可以较准确地评价患者的部分肩部外观特征。

关键词(KeyWords)： 脊柱侧弯;肩部影像学;外观;相关性

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 唐翔宇;张永刚;郑国权;施新革;赵永飞;张国莹;张雪松;王岩;

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