临床骨科杂志2011，Vol.14Issue(5)：481-483,3.
阶梯疗法干预下中、小学生脊柱侧凸患病率调查情况
A survey on adolescent scoliosis under the step intervention
李青 1袁元杏 1梁道臣 1张爱明 1梅治 1赵成毅1
作者信息
- 1. 中山市人民医院骨二科,广东 中山 528403
- 折叠
摘要
Abstract
Objective To investigate the incidence of the scoliosis and the development of deformity among adolescent population under the step intervention.Methods 44 058 students were examined for scoliosis by physical examination, moire topography and X-ray examination from Oct,1997 to Oct, 2009.The Cobb's angle was measured for the suspected suhjects.The children whose Cobb's angle ≥5° were separated into four groups : A: 5° ≤ Cobb's angle ＜10°.B: 10° ≤ Cobb's angle ＜ 20°.C: 20° ≤ Cobb's angle ＜ 40°, D: Cobb's angle ≥40°, and then were treated with missionary, gymnastics, traction, braces or surgery respectively.This management strategy was named to step intervention.Results All cases were followed up from 1 to 12 years.According to the diagnositic standand of Cobb's angle≥10° ,134 students were definitely diagnosed to scoliosis, with a prevalence of 3‰.There were 4 patients in group A, 5 in group B and 2 in group C whose Cobb's angle had gotten worse and went into next group continued the corresponding treatment respectively.Therefore, the rates of the worse of disease were 2.90％ , 6.02％ and 4.65％ in group A, B and C respectively.Group D were undergone surgical correction.All operations were done without accidents.The appearance recovery was satisfactory.Conclusions The survey on adolescent scoliosis among adolescent population is of great importance for early diagnosis.And the management of adolescent scoliosis with step treatments according to Cobb's angle could be an effective method to prevent the progressing of deformity.关键词
脊柱侧凸/流行病学/防治/阶梯疗法/普查Key words
scoliosis/epidemiology/ prevention/ step treatment/ mass screening分类
医药卫生引用本文复制引用
李青,袁元杏,梁道臣,张爱明,梅治,赵成毅..阶梯疗法干预下中、小学生脊柱侧凸患病率调查情况[J].临床骨科杂志,2011,14(5):481-483,3.
