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小儿半椎体畸形的外科治疗探讨
引用本文:张学军,于凤章,马巍,孙琳,李成鑫,祁新禹,潘少川.小儿半椎体畸形的外科治疗探讨[J].中国脊柱脊髓杂志,2003,13(11):667-669.
作者姓名:张学军  于凤章  马巍  孙琳  李成鑫  祁新禹  潘少川
作者单位:1. 首都医科大学附属儿童医院外科,北京小儿脊柱畸形矫治中心,100045
2. 复旦大学附属儿科医院外科,200032
摘    要:目的:探讨小儿半椎体畸形的外科治疗及相关问题。方法:手术治疗94例半椎体畸形患儿,按照术式分为单纯半椎体切除组及半椎体切除后路加压固定组,随访观察术后情况,比较治疗效果。结果:两组侧弯均得到控制,后路加压固定组侧弯矫正明显好于单纯组,但术后并发症较多。结论:小儿半椎体畸形应早期手术治疗,前后路切除半椎体并加压固定可获得较好的治疗效果。

关 键 词:小儿  半椎体畸形  外科治疗  椎体发育不良  手术方法
文章编号:1004-406X(2003)-11-667-03
修稿时间:2003年1月10日

Discussion about surgical treatment of children's hemivertebrae deformity
ZHANG Xuejun,YU Fengzhang,MA Wei,et al//Chinese J ournal of Spine and Spinal Cor.Discussion about surgical treatment of children''s hemivertebrae deformity[J].Chinese Journal of Spine and Spinal Cord,2003,13(11):667-669.
Authors:ZHANG Xuejun  YU Fengzhang  MA Wei  //Chinese J ournal of Spine and Spinal Cor
Abstract:Objective:To discuss some problems about surgical treatment of children's hemivertebrae deformity.Method:94cases of children' s hemivertebrae deformities have been treated surgically.According to the methods of operation,two groups were divided:one was simple excision of hemiveterbrae,other was using Apofix posterior pressing after excision.Following and evaluating the result of treatment.Result:Scoliosis of all two groups deformities were got controlled,application of Apofix instrumentation poterior compressing could get better correction,but there were a few more complications after operation.Conclusion:Children's hemiveterbrae deformity should be earlier treated surgically.Anterior and posterior exicision of hemiveterbrae and combining using Apofix instrumentation postertirior compression could get better correction.
Keywords:Hemivertebrae deformity  Children  Scoliosis  Operation  [Author's address]Surgical Department  Beijing Children's Hospital  Beijing  100045  China  
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