Lenke分型在青少年特发性脊柱侧凸的应用.doc

Lenke分型在青少年特发性脊柱侧凸的应用
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作者:马元琛,王义生,柯雨洪,詹世强,刘斌,王巧民,周良安
【摘要】[目的]检测Lenke分型中各种脊柱侧凸类型的发病率,检测Lenke分型方法与手术融合节段的关系。[方法]回顾性分析在本院接受手术治疗的青少年特发性脊柱侧凸患者154例临床及影像学资料,按Lenke方法对侧凸进行分型,统计各种侧凸类型的发病率,检测Lenke分型方法与手术融合节段的关系。[结果]154例脊柱侧凸的病例均采用Lenke分型方法进行归类,最常见的5种类型是1AN,5CN,1BN,2AN,1CN,有11种类型在本组中未出现。%进行了固定融合。[结论]Lenke的青少年特发性脊柱侧凸分型较过去的分型更为全面,对手术指征的评估、手术方法的选择有重要的指导意义,其结构性侧凸的诊断标准是实用的。
【关键词】特发性脊柱侧凸; Lenke; 分类法; 脊柱融合术
Abstract: [Objective]To determine the prevalence of each type of adolescent idiopathic scoliosis in Lenke classification, and find out the relationship between Lenke classification and fusion level. [Method]Totally 154 cases of adolescent idiopathic scoliosis being treated with sugery between January 2002 and September 2007 were analyzed retrospectively in Guangdong General casess were classified with Lenke classification, prevalence of each type were counted. The fusion levels pared with Lenke classification.[Result]All of 154 cases could be classified by Lenke classification, the 5 mon types were 1AN, 5CN, 1BN, 2AN, 1CN. % of structural curve had been fused.[Conclusion]Lenke classification can provide effective guidance for pre-operative evaluation and choosing opertive method. The method of determining structural curve is useful.
Key words:idiopathic scoliosis; Lenke; classificaiton; spinal fusion