陶有平;吴继功;马华松;邹德威;陈志明;谭荣;张乐乐;白克文;姬勇;

• 1:安徽医科大学解放军第306医院临床学院
• 2:解放军第306医院全军脊柱外科中心

摘要(Abstract)：

[目的]比较青少年特发性脊柱侧凸患者支具治疗前与末次随访肺功能的变化,探讨支具治疗对患者近期肺功能的影响。[方法]对2009年2月～2010年10月在本院接受规范支具治疗的40例青少年特发性脊柱侧凸患者;其中男性4人,女性36人;初诊时年龄10～14岁,平均12.2岁,骨骼发育Risser征0～Ⅱ度,平均1.1度;观察支具治疗前、末次随访时主侧凸冠状Cobb角以及肺功能等指标的变化。[结果]随访时间为6～17个月,平均8个月;支具治疗前主侧凸冠状Cobb角(28.41±6.45)°,末次随访时主侧凸冠状Cobb角(16.21±10.22)°,平均矫正率为43.56%,两者差异有显著性意义(P<0.05);支具治疗前、末次随访时肺功能指标VC(肺活量)、FEV1(第1 s时间肺活量)、MVV(最大通气量)实测值及占预计值百分率进行比较,结果有显著性差异(P<0.05)。随访期间患者脊柱侧凸的进展均得到有效控制,患者无明显呼吸困难及活动功能障碍等并发症。[结论]支具治疗对青少年特发性脊柱侧凸有矫正效果;但是对患者近期肺功能可能有消极影响,患者在佩戴支具期间需要加强对肺功能的锻炼。

关键词(KeyWords)： 支具;脊柱侧凸;肺功能

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 陶有平;吴继功;马华松;邹德威;陈志明;谭荣;张乐乐;白克文;姬勇;

Email:

DOI:

参考文献(References)：

• [1]Douglas K,Raymond T.Brace treatment in adolescengt idiopathic scol-iosis[J].Clin Orthop,1988,229:34-43.
• [2]朱泽章,邱勇,王斌,等.AIS的支具治疗[J].中华骨科杂志,2004,5:276-280.
• [3]肖建德,熊建义,范佳进,等.Cheneau支具治疗青少年特发性脊柱侧凸[J].中国矫形外科杂志,2001,12:1172-1174.
• [4]康学文,王栓科,陈向东.不同类型青少年脊柱侧弯支具治疗疗效观察[J].中国矫形外科杂志,2008,1:70-71.
• [5]Lonstein JE,Winter RB.The Milwaukee brace for the treatment of ad-olescent idiopathic scoliosis:a review of1020patients[J].J Bone Joint Surg Am,1994,76:1207.
• [6]Lonstein JE,Carlson JM.The predictiong of curve progression in un-treated idiopathic scoliosis[J].J Bone Joint Surg Am,1984,66:1061.
• [7]Wong MS,Cheng JC,Lo KH.A comparison of treatment effectiveness between the CAD/CAM method and the manual method for managing adolescent idiopathic scoliosis[J].Prosthet Orthot Int,2005,29:105-111.
• [8]王岩.脊柱侧凸矫形对肺功能的影响[J].中国脊柱脊髓杂志,2008,9:651-652.
• [9]Willer U,Normelli H,Aaro S,et al.Long-term results of Boston brace treatment on vertebral rotation in idiopathic scoliosis[J].Spine,1993,18:432.
• [10]Tangsrud SE,Ldrup-Carlsen KC,Lund-Petersen I,et al.Lung function measurements in young children with spinal muscle atrophy:a cross sectional survey on the effect of position and bracing[J].Arch Dis Child,2001,84:521-524.
• [11]Korovessis P,Filos KS,Georgopoulos D.Long-term alterations of respiratory function in adolescents wearing a brace for idiopathic scoli-osis[J].Spine,1996,17:1979-1984.
• [12]Margonato V,Fronte F,Rainero G,et al.Effects of short term cast wearing on respiratory and cardiac responses to submaximal and maxi-mal exercise in adolescents with idiopathic scoliosis[J].Eura Medi-cophys,2005,2:135-140.
• [13]Refsum HE,Naess-Andresen CF,Lange JE.Pulmonary function and gas exchange at rest and exercise in adolescent girls with mild idio-pathic scoliosis during treatment with Boston thoracic brace[J].Spine(Phila Pa1976),1990,5:420-423.
• [14]Zaina F,Negrini S,Atanasio S.Specific exercises performed in the period of brace weaning can avoid loss of correction in adolescent idio-pathic scoliosis(AIS)patients:winner of SOSORT’s2008Award for best clinical paper[J].Scoliosis,2009,4:8.
• [15]Pehrsson K,Danielsson A,Nachemson A.Pulmonary function in ado-lescent idiopathic scoliosis:a25year follow up after surgery or start of brace treatment[J].Thorax,2001,56:388-393.