3种内固定系统矫正特发性脊柱侧凸的疗效分析 |
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引用本文: | 郝定均,贺宝荣,宋宗让,吴起宁,方向义,陈海波.3种内固定系统矫正特发性脊柱侧凸的疗效分析[J].陕西医学杂志,2009,38(2). |
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作者姓名: | 郝定均 贺宝荣 宋宗让 吴起宁 方向义 陈海波 |
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作者单位: | 西安市红十字会医院,西安,710054 |
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基金项目: | 陕西省科技厅社会发展资助项目 |
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摘 要: | 目的:回顾性研究钉-棒系统矫正特发性脊柱侧凸的临床效果。方法:分别采用钩-棒、钉-钩-棒、钉-棒系统对469例特发性脊柱侧凸患者进行矫正,并对随访3年以上的303例分为3组,对其矫正效果、并发症进行对比研究。结果:钉-棒系统手术时间、出血量明显少于前两组。冠状面、矢状面的矫正中钉-棒系统明显优于前两组。术后钉-棒系统断棒、失代偿及假关节的发生明显低于前两组。结论:全椎弓根螺钉系统具有良好的三维矫正控制力,矫正效果良好,并发症少。
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关 键 词: | 脊柱侧凸/外科学 矫形外科器材 对比研究 @椎弓根螺钉系统 |
Curative effect of three internal fixation instruments to correct idiopathic scoliosis |
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Abstract: | Objective:To review the therapeutic effect of screw-rod system in correction idiopathic scoliosis. Methods:469 idiopathic scoliosis patients who were corrected with crook-rod system, screw-crook-rod and screw-rod system were analyzed. 253 patients whose follow up duration were over 3 years were divided into 3 groups. The correct effects and complications were compared .Results:Operation time and bleeding volume were obviously short and small in screw-rod system. Correct effects in coronal plane and sagittal plane were obviously better in screw-rod system. Rod broken, decompensation and pseudarthrosis were obviously lower in screw-rod system. Conclusion:Pedicle screw system could make satisfying results in correction idiopathic scoliosis, and with few complications. |
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Keywords: | Scoliosis/surgery Orthopedic equipment Comparative study @Pedicle screw system |
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