| 术前Halo重力牵引辅助治疗青少年重度脊柱侧凸畸形的临床疗效 |
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| 引用本文： | 李唐波,林涛,孟怡辰,姜横,王策,周许辉. 术前Halo重力牵引辅助治疗青少年重度脊柱侧凸畸形的临床疗效[J]. 中国临床医学, 2017, 24(4): 510-513 |
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| 作者姓名： | 李唐波 林涛 孟怡辰 姜横 王策 周许辉 |
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| 作者单位： | 上海长征医院脊柱外科,上海长征医院脊柱外科,上海长征医院脊柱外科,上海长征医院脊柱外科,上海长征医院脊柱外科,上海长征医院脊柱外科 |
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| 摘 要： | 目的:探讨术前Halo重力牵引辅助治疗青少年重度脊柱侧凸畸形患者的临床疗效。方法:回顾性分析2009年1月至2014年12月第二军医大学长征医院脊柱外科收治的37例青少年重度脊柱侧凸患者的临床资料,所有患者术前均接受Halo重力牵引治疗,随访时间1~4个月。结果:与牵引前相比,牵引后冠状面Cobb角明显降低,差异有统计学意义[(99.5±14.4)°vs(73.2±9.3)°,P0.01]。与牵引前相比,牵引后患者用力肺活量(forced vital capacity,FVC)明显上升[(1.97±0.35)L vs(2.34±0.22)L],1秒用力呼气容积(forced expiratory volume in one second,FEV_1)明显上升[(1.75±0.28)L vs(2.08±0.15)L],血浆白蛋白明显上升[(33±9)g/L vs(38±3)g/L],差异均有统计学意义(P0.01)。牵引前后主弯变化量与FVC变化量正相关(r=0.230,P=0.004),与FEV_1变化量正相关(r=0.216,P=0.007)。牵引过程中1例患者出现左上肢麻木。结论:术前Halo重力牵引可缓慢矫正重度脊柱侧凸青少年患者脊柱畸形,增强肺功能水平,提高营养水平,但应避免牵引相关神经并发症的发生。
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| 关 键 词： | Halo 重力牵引 重度脊柱侧凸 肺功能 营养状况 |
| 收稿时间： | 2016-12-30 |
| 修稿时间： | 2017-04-07 |
Efficacy of Halo gravity traction for treatment of severe adolescent scoliosis |
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| .. Efficacy of Halo gravity traction for treatment of severe adolescent scoliosis[J]. Chinese Journal Of Clinical Medicine, 2017, 24(4): 510-513 |
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| Authors: | . |
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| Affiliation: | Department of spine surgery, Shanghai Changzheng hospital,Department of spine surgery, Shanghai Changzheng hospital,Department of spine surgery, Shanghai Changzheng hospital,Department of spine surgery, Shanghai Changzheng hospital,Department of spine surgery, Shanghai Changzheng hospital,Department of spine surgery, Shanghai Changzheng hospital |
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| Abstract: | Objective: There have been no standardized surgical options for severe scoliosis. Halo gravity traction was recommended as an adjunctive method. The aim of this study was to retrospectively evaluate the efficacy of Halo gravity traction for treatment of severe adolescent scoliosis. |
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| Keywords: | Halo gravity traction severe scoliosis pulmonary function nutrition status |
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