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ID:33408496
大小:2.47 MB
页数:37页
时间:2019-02-25
《颅盆环牵引在重度脊柱侧弯矫正中的应用》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、遵义医学院硕士学位论文颅盆环牵引在重度脊柱侧弯矫正中的应用姓名:黄朝国申请学位级别:硕士专业:外科学指导教师:梁益建201205遵义医学院硕士学位论文中文摘要颅盆环牵引在重度脊柱侧弯矫正中的应用摘要目的:探讨颅盆环牵引在重度脊柱侧弯畸形矫正中的应用价值。、方法:21例重度脊柱侧弯患者,入院后行颅盆环牵引,在牵引过程中根据情况行软组织松解和胸廓成型术,牵引达到极限后,行脊柱后路手术植骨融合内固定。手术前后分别测量患者脊柱侧弯Cobb’S角及身高,对比治疗前后的效果。结果:21例患者全部在颅盆环牵引下顺利完成了软组织松解一胸廓成形~脊柱后路手术
2、,患者脊柱侧弯Cobb’S角由牵引前的平均(95.9士28.4)o矫正至平均(35.2土12.3)o,矫正率63.3%;身高由牵引前的平均132.7士15.4cm增高至平均46.7士15.4cm,治疗前后比较p3、要的作用,通过逐步调整颅盆环牵引来减小重度脊柱侧弯畸形的程度,从而降低内固定手术矫正的风险,预防和避免脊髓、神经、血管等重要组织损伤的发生,是一种安全有效的治疗方法。关键词:重度脊柱侧弯颅盆环牵引矫形遵义医学院硕士学位论文英文摘要ApplicationofHalopelvicRingTractioninCorrectingSevereScoliosisAbstractobjeetive:Toinvestigatethevalueofhalopelvicringtractionincorrectionofseverescoliosis.Met4、hods:21patientswi也severescoliosiswereadmittedandthenunderwentposteriorhalopelvicringtraction,andsoRtissuereleaseandthoracicangioplastyduringtraction.Aftertractiontotheplannedcorrectionangle,posteriorspinalsurgery,bone争世andinternalfixationandfusionwereperformed.ScoliosisCob5、b’Sanglesandheightofpatientsweremeasuredbeforeandaftertreatmentandthedifferenceswerecompared.Results:Softtissuerelease,thoracicangioplasty,andposteriorspinalsurgeryduringtractionweresuccessfullyperformedina11ofthe21patients.ThescoliosisCobb’sanglewerecorrectedfrom95.9-a:286、.40beforetreatmentto35.2土12.30aftertreatmentinaverage.ThecorrectionrateiS63.3%.ThcirheightWasincreasedfrom132.7士15.4cmbeforetreatmentto146.7士15.4em.ThedifferenceswerestatisticallysignificantwithaPvaluelessthan0.05.Thephysicalappearance.walkingpostureandcardiopulmonaryfunct7、ionof也epatientswereimproved.Nocomplicationssuchasspinalcordinjuryoccurred.灿lt11epatientswerefollowedupforanaverageof1.6years(0.9—2.0years).Thesegmentsofthespinalfixationgainedbonyfusionwithoutfailureorfractureofinternalfixation.orlOSSofcorrectionangle(anglelosswithin50Wasc8、onsiderednormalangleloss).Conclusion:Halopelvicringtractionfortreatmentofseverescoliosish
3、要的作用,通过逐步调整颅盆环牵引来减小重度脊柱侧弯畸形的程度,从而降低内固定手术矫正的风险,预防和避免脊髓、神经、血管等重要组织损伤的发生,是一种安全有效的治疗方法。关键词:重度脊柱侧弯颅盆环牵引矫形遵义医学院硕士学位论文英文摘要ApplicationofHalopelvicRingTractioninCorrectingSevereScoliosisAbstractobjeetive:Toinvestigatethevalueofhalopelvicringtractionincorrectionofseverescoliosis.Met
4、hods:21patientswi也severescoliosiswereadmittedandthenunderwentposteriorhalopelvicringtraction,andsoRtissuereleaseandthoracicangioplastyduringtraction.Aftertractiontotheplannedcorrectionangle,posteriorspinalsurgery,bone争世andinternalfixationandfusionwereperformed.ScoliosisCob
5、b’Sanglesandheightofpatientsweremeasuredbeforeandaftertreatmentandthedifferenceswerecompared.Results:Softtissuerelease,thoracicangioplasty,andposteriorspinalsurgeryduringtractionweresuccessfullyperformedina11ofthe21patients.ThescoliosisCobb’sanglewerecorrectedfrom95.9-a:28
6、.40beforetreatmentto35.2土12.30aftertreatmentinaverage.ThecorrectionrateiS63.3%.ThcirheightWasincreasedfrom132.7士15.4cmbeforetreatmentto146.7士15.4em.ThedifferenceswerestatisticallysignificantwithaPvaluelessthan0.05.Thephysicalappearance.walkingpostureandcardiopulmonaryfunct
7、ionof也epatientswereimproved.Nocomplicationssuchasspinalcordinjuryoccurred.灿lt11epatientswerefollowedupforanaverageof1.6years(0.9—2.0years).Thesegmentsofthespinalfixationgainedbonyfusionwithoutfailureorfractureofinternalfixation.orlOSSofcorrectionangle(anglelosswithin50Wasc
8、onsiderednormalangleloss).Conclusion:Halopelvicringtractionfortreatmentofseverescoliosish
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