| 李佳1 马华松2△ 陈志明2 王晓平2 周建伟2 杨滨2 牛晶2.重度脊柱侧凸后路一期小切口矫形对肺功能的影响[J].,2012,12(17):3308-3311 |
| 重度脊柱侧凸后路一期小切口矫形对肺功能的影响 |
| The Changes of Pulmonary Function in Severe Scoliosis Treatedwith First Stage Minimal Incision Surgery |
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| DOI： |
| 中文关键词: 重度脊柱侧凸 肺功能 分期手术 |
| 英文关键词: Severe scoliosis Pulmonary function Orthomorphia |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨采用脊柱后路分期矫形策略治疗重度脊柱侧后凸，一期小切口矫形术对患者肺功能的影响。方法：自2007 年
05 月-2010 年12 月采用脊柱后路分期矫形策略中一期小切口矫形术治疗重度脊柱侧凸患者32 例，其中男12 例，女20 例，年龄
5～25（13.5±6.12）岁。一期小切口矫形术前侧凸主弯冠状面Cobb's 角为108°～150°（128.75°±13.51°），胸腰段矢状位后凸
角60°～140°（97.78°±27.88°）。测量一期矫形术前及术后2 周、3 月、6 月肺功能，包括肺活量（VC）、用力肺活量(FVC)、第一
秒时间肺活量(FEV1)、最大呼气中段流速(MMEF)、最大通气量（MVV），计算其占预计值的百分比[VC％、FVC％ 、FEV1％ 、
MMEF％、MVV％]。观察患者术前与术后不同时期肺功能的变化。结果：术后3 月时肺功能较术前有明显提高（P<0.05），术后6 月
较术后3 个月无显著提高（P>0.05）。结论：对于严重的脊柱侧凸患者，后路一期小切口矫形术后3 月肺功能即可获得明显改善，可
行二期手术治疗。 |
| 英文摘要: |
| Objective: To investigate the improvement of pulmonary function in severe scoliosis patients treated with first stage
minimal incision surgery of staged plastic surgery. Methods: From May. 2007 to Dec. 2010, 32 patients with severe scoliosis including 12
males and 20 females aged 5 to 25 (13.5± 6.12) years were treated with first stage minimal incision surgery of staged plastic surgery.
The preoperative coronal cobb's angle of the main curve was 108° ~ 150° (128.75°±13.51°). The preoperative thoracolumbar sagital
cobb's angle was 60～140°(97.78±27.88°). Parameters of pulmonary function，including vital capacity (VC) and forced vital capacity
(FVC), forced expiratory volume in one second (FEV1), maximal mid-expiratory flow (MMEF), maximal voluntary ventilation（MVV）,
were measured before and 2 weeks, 3 months, 6 months after surgery. The percentage of each parameter to its expected value was
calculated. Preoperative and postoperative pulmonary function was compared with compared t test. Results: The pulmonary function was
significantly improved 3 months after surgery (P<0.05), but not pulmonary function were improved when have increased significantly
postoperative June is 3 months after improve significantly (P>0.05). Conclusion: For severe scoliosis patients, the pulmonary function can
be improved with first stage minimal incision surgery. |
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