摘要
目的探讨脊柱侧凸合并无症状脊髓栓系患者采用一期后路矫形治疗的临床效果。方法 20例脊柱侧凸合并无症状脊髓栓系患者,均行一期后路矫形治疗,观察分析患者矫形效果及治疗前、后SRS-22评分和改良日本骨科学会评分。结果术后1、6个月患者冠状面Cobb角[(24.56±5.89)°、(22.46±4.78)°]明显小于治疗前[(57.46±11.68)°](P<0.05),术后1个月与术后6个月比较差异无统计学意义(P>0.05);治疗后患者活动能力评分[(21.22±1.97)分]、疼痛程度评分[(21.68±1.68)分]、自我形象评分[(19.26±2.64)分]、心理状况评分[(20.18±1.78)分]和SRS-22总评分[(85.69±4.97)分]均高于治疗前[(17.64±2.64)、(19.89±1.64)、(14.24±2.46)、(15.16±2.34)、(66.89±3.97)分](P<0.05);治疗后患者主观症状评分[(8.92±1.24)分]、客观体征评分[(5.23±0.44)分]、日常能力评分[(12.68±1.22)分]和改良日本骨科学会总评分[(25.68±1.82)分]均明显高于治疗前[(6.26±1.26)、(4.26±0.68)、(10.23±1.64)、(20.68±1.98)分](P<0.05)。结论一期后路矫形治疗脊柱侧凸合并无症状脊髓栓系患者脊柱矫正效果好,并对患者生活质量与身体机能起有效改善作用。
Objective To study the clinical value of one-stage posterior correction to the treatment of scoliosis in patients with asymptomatic tethered cord. Methods Twenty patients with scoliosis complicated with asymptomatic tethered cord underwent one-stage posterior correction. The orthopedic outcome, SRS-22 score and modified Japanese Orthopedic Association score were compared before and after treatment. Results The coronal Cobb angle was significantly smaller 1 and 6 months after operation((24.56±5.89)°,(22.46±4.78)°) than that before operation((57.46±11.68)°)(P<0.05), and showed no significant difference between 1 and 6 months after operation(P>0.05). After treatment, the patients' activity(21.22±1.97), pain degree score(21.68±1.68), self-image score(19.26±2.64), psychologic score(20.18±1.78) and SRS-22 score(85.69±4.97) higher after operation were significantly than those before treatment(17.64±2.64, 19.89±1.64, 14.24±2.46, 15.16±2.34, 66.89±3.97)(P<0.05). The subjective symptom score(8.92±1.24), objective symptom score(5.23±0.44), daily activity score(12.68±1.22) and modified Japanese Orthopedic Association score(25.68±1.82) after operation were significantly higher than those before operation(6.26±1.26, 4.26±0.68, 10.23±1.64, 20.68±1.98)(P<0.05). Conclusion One-stage posterior correction is effective for scoliosis complicated with asymptomatic tethered cord, and can improve the quality of life and physical function of the patients.
作者
龚飞鹏
陈钢
龙智生
李宇旭
程金辉
GONG Feipeng;CHEN Gang;LONG Zhisheng;LI Yuxu;CHENG Jinhui(Department of Orthopedics,Jiangxi People’s Hospital,Nanchang 330006,China)
出处
《中华实用诊断与治疗杂志》
2019年第6期569-570,共2页
Journal of Chinese Practical Diagnosis and Therapy
基金
江西省卫生计生委科技计划(20175028)
江西省卫生计生委中医药科研课题(2016B045)
关键词
脊柱侧凸
脊髓栓系
一期后路矫形
scoliosis
tethered cord
one-stage posterior correction
