[1]王冰　 吕国华　 马泽民　 李晶　 邓幼文　 刘伟东.应用胸腔镜和传统开胸技术进行前路脊柱侧弯矫形临床比较学研究[J].中国微创外科杂志,2004,04(6):519-521.
　Wang Bing,Lü Guohua,Ma Zemin,et al.Anterior correction for scoliosis: A clinical comparison between thoracoscopic and conventional thoracotomy[J].Chinese Journal of Minimally Invasive Surgery,2004,04(6):519-521.
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应用胸腔镜和传统开胸技术进行前路脊柱侧弯矫形临床比较学研究
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
04
期数:
2004年6期
页码:
519-521
栏目:
出版日期:
2004-06-30

文章信息/Info

Title:
Anterior correction for scoliosis: A clinical comparison between thoracoscopic and conventional thoracotomy
作者:
王冰　 吕国华　 马泽民　 李晶　 邓幼文　 刘伟东
中南大学湘雅二医院脊柱外科,长沙,410011
Author(s):
Wang Bing;  Lü Guohua;  Ma Zemin;  et al.
Department ofSpine Surgery, Xiangya SecondHospital ofCentral Southern University, Changsha410011, China
关键词:
胸腔镜;  开胸技术;  前路;  脊柱侧弯
Keywords:
Thoracoscopy; 　Thoracotomy; 　Anterior approach; 　Scoliosis
分类号:
R687
文献标志码:
A
摘要:
目的通过前瞻性研究评价应用胸腔镜和传统开胸手术两种方法进行脊柱侧弯前路矫形的临床效果. 方法将研究对象随机分为胸腔镜组和开胸组,各6例. 结果胸腔镜组出血量 (260±40.0)ml少于开胸组(390±57.3)ml,(t=-4.557,P=0.001).术后上肢功能评分:胸腔镜组(术后1.3±0.3,3个月1.1±0.1)优于开胸组(术后2.1±0.2,3个月 1.5±0.3)(t=-5.435,-3.098;P=0.000,0.001).术后脊柱侧弯平均矫正率: 胸腔镜组平均矫正率59%,开胸组平均矫正率62%,P=0.628.所有病例术后随访平均12个月,均获得良好骨融合. 结论胸腔镜和传统开胸技术进行前路脊柱侧弯矫形均可以获得良好的手术效果.围手术期及术后3个月以内的临床评估,胸腔镜技术在减少术中出血量、胸痛和上肢功能障碍等方面有优势.
Abstract:
Objective　To perspectively evaluate clinical effects of anterior correction for scoliosis by either thoracoscopic or conventional thoracotomy.　Methods　Patients were randomly divided into either thoracoscopic group or conventional group with 6 patients in each group.　Results　The blood loss was less in thoracoscopic group (260±40·0 ml) than in conventional group (390±57·3 ml) (t=- 4·557, P=0·001). The scores for upper-limb function were superior in thoracoscopic group (1·3±0·3 and 1·1±0·1 postoperatively and at 3 months, respectively) to conventional group (2·1±0·2 and 1·5±0·3 postoperatively and at 3 months, respectively) (t=-5·435 and -3·098,P=0·000 and 0·001, respectively). The mean correction rate was 59% in thoracoscopic group and 62% in conventional group (P=0·628). All the patients were followed for a mean of 12 months and satisfactory bone fusion was achieved.　Conclusions　Both thoracoscopic and conventional thoracotomy can give good curative effects. Clinical evaluation perioperatively and at 3 postoperative months showed that thoracoscopic treatment is better in the decrease of blood loss and chest pain and the recovery of upper-limb function.

参考文献/References:

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［3］吕国华,王冰,李晶,等. 胸腔镜技术在治疗脊柱结核中的应用. 中国脊柱脊髓杂志, 2002,12:250-253.
［4］Burd TA,Pawelek L,Lenke LG.Upper extremity functional assessment after anterior spinal fusion via thoracotomy for adolescent idiopathic scoliosis:prospective study of twenty-five patients. Spine,2002,27: 65-71.
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更新日期/Last Update: 2014-06-09