摘要
目的分析后路长节段固定融合术结合短杠杆复位在青少年特发型脊柱侧弯治疗中的应用表现。方法选取2018年1月至2022年12月西藏军区总医院收治的100例青少年特发型脊柱侧弯患者作为研究对象,根据随机数字表法分为观察组与对照组,每组50例。观察组接受后路长节段固定融合术结合短杠杆复位治疗,对照组仅接受后路长节段固定融合术治疗。比较两组疼痛程度、Cobb角、脊柱功能评价、临床疗效、并发症发生情况。结果治疗后,两组视觉模拟评分法评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);治疗后,两组Cobb角均小于治疗前,且观察组小于对照组,差异有统计学意义(P<0.05);治疗后,两组Oswestry功能障碍指数问卷评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较差异无统计学意义。结论后路长节段固定融合术结合短杠杆复位治疗青少年特发型脊柱侧弯效果确切,有利于缓解疼痛,促进脊柱功能恢复,值得临床推广应用。
Objective To analyze the application performance of posterior long segment fixation combined with short lever reduction in the treatment of adolescent idiopathic scoliosis.Methods 100 cases of adolescent idiopathic scoliosis admitted to the General Hospital of Xizang Military Region from January 2018 to December 2022 were selected as the study subjects,and they were divided into the observation group and the control group according to the random number table,with 50 cases in each group.The observation group received posterior long segment fixation combined with short lever reduction treatment,while the control group only received posterior long segment fixation treatment.The pain level,Cobb angle,spinal function evaluation,clinical efficacy and complications were compared between the two groups.Results After treatment,the visual analogue scale scores of the two groups were lower than before treatment,and the observation group was lower than the control group,and the differences were statistically significant(P<0.05);after treatment,the Cobb angles of the two groups were smaller than before treatment,and the observation group was smaller than the control group,and the differences were statistically significant(P<0.05);after treatment,the scores of the Oswestry disability index questionnaire of the two groups were lower than before treatment,and the observation group was lower than the control group,and the differences were statistically significant(P<0.05);the total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05);there was no statistically significant difference in the incidence of complications between the two groups.Conclusion The combination of long segment fixation and short lever reduction in the treatment of adolescent idiopathic scoliosis has a definite effect,which is beneficial for relieving pain and promoting spinal function recovery,it is worthy of clinical promotion and application.
作者
单文翰
王焱
刘全敬
苟东凯
刘黄兴
SHAN Wenhan;WANG Yan;LIU Quanjing;GOU Dongkai;LIU Huangxing(Medical College of Tibet University,Lhasa,Tibet,850000,China)
出处
《当代医学》
2025年第1期77-80,共4页
Contemporary Medicine
