晏怡果;薛静波;谢勇;欧阳智华;李学林;王文军;

• 1:南华大学附属第一医院

摘要(Abstract)：

[目的]评估微创多节段小切口滑槽钉生长棒治疗儿童脊柱侧弯的临床疗效。[方法]2014年1月~2017年7月,采用微创多节段小切口滑槽钉生长棒治疗特发性脊柱侧凸患儿8例[男3例,女5例,年龄(7.75±1.47)岁],并与同期14例行传统后路切口滑槽钉生长棒治疗的脊柱侧凸患儿[男4例,女10例,年龄(7.57±1.71)岁]进行对比。比较两组手术前后冠状位、矢状位Cobb角及其矫正率、切口长度、出血量、手术时间、术后VAS评分和未置钉节段椎体高度及每椎体相对生长率。[结果]两组病例术前患儿年龄、冠状位及矢状位Cobb角无明显差异;所有病例均顺利完成手术,无神经系统并发症,无围手术期死亡患儿。两组病例术后即刻冠状位和矢状位Cobb角均有改善;微创多节段小切口组切口长度、出血量均小于传统后路组,差异有统计学意义(P<0.05);而手术时间和VAS评分与传统后路组比较差异无统计学意义(P>0.05)。全部病例随访12~43个月,平均(23.61±9.42)个月,微创小切口组与传统后路组椎体高度均有增长,但微创小切口组增长更明显,差异有统计学意义(P<0.05)。随访期间,未出现断钉、断棒等内固定相关并发症。[结论]使用微创多节段小切口滑槽钉生长棒治疗儿童脊柱侧凸,能有效矫正畸形,相比传统后路开放手术更有效保留了脊柱的生长发育能力,具有创伤小、出血少、恢复快等优点。

关键词(KeyWords)： 微创小切口;脊柱侧凸;儿童;内固定器

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学基金项目(编号:31570946);; 湖南省卫生计生委科研计划课题重点项目(编号:A2017016)

作者(Author): 晏怡果;薛静波;谢勇;欧阳智华;李学林;王文军;

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