解放军医学院学报Issue(7)：716-719,4.DOI:10.3969/j.issn.2095-5227.2015.07.021
青少年特发性脊柱侧凸患者肩部影像学新参数的临床应用价值
Clinical value of a new radiographic shoulder parameter for adolescent idiopathic scoliosis patients
李杰静 1苏晓静 1唐翔宇 1张永刚 1宋凯 1赵陆1
作者信息
- 1. 解放军总医院 骨科专科医院脊柱外科，北京 100853
- 折叠
摘要
Abstract
Objective To assess the clinical value of a new radiographic shoulder parameter (coracoid process outer clavicle difference, CPCD) for adolescent idiopathic scoliosis (AIS) patients. Methods Seventy AIS patients with Lenke 1 (n=39) and 2 (n=31) curves admitted to our hospital from February 2012 to March 2013 were included in this study. All patients underwent total spinal posterior-anterior radiographs and posterior shoulder aesthetic photographs at a natural standing position. The radiographic shoulder parameters, including coracoid process outer clavicle difference (CPCD) which was defined by us, and coracoid process height (CPH), shoulder height difference (SHD), radiographic shoulder height (RSH), clavicle difference (CD), which were defined by previous authors, were measured on the X-ray films. The outer shoulder height (SHo) was measured on the posterior shoulder aesthetic photographs. Correlation analysis was made between radiographic shoulder parameters and SHo. Results CPCD showed the highest correlation coefficient with SHo, while the correlation coefficient between RSH, SHD, CD, CPH and SHo was smaller than that between CPCD and SHo. Conclusion The new parameter (CPCD) has higher correlation coefficient with SHo than all the previous parameters. It can more accurately reflect the shoulder appearance and it is more valuable than previous parameters to evaluate the shoulder balance.关键词
脊柱侧凸/肩部平衡/X线片Key words
scoliosis/shoulder balance/X-ray分类
医药卫生引用本文复制引用
李杰静,苏晓静,唐翔宇,张永刚,宋凯,赵陆..青少年特发性脊柱侧凸患者肩部影像学新参数的临床应用价值[J].解放军医学院学报,2015,(7):716-719,4.
