中国临床医学2017，Vol.24Issue(4)：510-513,4.DOI:10.12025/j.issn.1008-6358.2017.20161218
术前Halo重力牵引辅助治疗青少年重度脊柱侧凸畸形的临床疗效
Clinical efficacy of preoperative Halo gravity traction in the treatment of severe adolescent scoliosis
李唐波 1林涛 1孟怡辰 1姜横 1王策 1周许辉1
作者信息
- 1. 海军军医大学附属长征医院脊柱外科,上海 200003
- 折叠
摘要
Abstract
Objective:To investigate the clinical efficacy of preoperative Halo gravity traction in the treatment of severe adolescent scoliosis.Methods:The clinical data of 37 cases of severe scoliosis in adolescents admitted to Department of Spine Surgery,Changzheng Hospital from January 2009 to December 2014 were retrospectively analyzed.All patients received Halo gravity traction before operation,and the follow-up time ranged from 1 to 4 months.Objective:Compared with before traction,forced vital capacity(FVC)increased significantly([1.97±0.35] L vs [2.34±0.22] L),forced expiratory volume in one second(FEV1)increased significantly([1.75±0.28] L vs [2.08±0.15] L),plasma albumin increased significantly([33±9] g/L vs [38±3] g/L),and the differences were all statistically significant(P<0.01).The change of main curve before and after traction was positively correlated with FVC change(r=0.230,P=0.004)and FEV1 change(r=0.216,P=0.007).During the traction,1 patient experienced transient brachial plexus palsy.Conclusions:Preoperative Halo gravity traction can gradually correct the spinal deformity,enhance the pulmonary function,and improve the nutrition level of adolescent patients with severe scoliosis.But traction-related neurological complications should be prevented.关键词
Halo重力牵引/重度脊柱侧凸/肺功能/营养状况Key words
Halo gravity traction/severe scoliosis/pulmonary function/nutrition status分类
医药卫生引用本文复制引用
李唐波,林涛,孟怡辰,姜横,王策,周许辉..术前Halo重力牵引辅助治疗青少年重度脊柱侧凸畸形的临床疗效[J].中国临床医学,2017,24(4):510-513,4.
