论文部分内容阅读
目的探讨生长棒技术治疗早发性脊柱侧凸的并发症及其危险因素。方法回顾性分析2008年1月至2014年6月,我院应用生长棒技术治疗的33例早发性脊柱侧凸患者,其中男18例,女15例。初次手术时的年龄为5~9岁,平均(6.4±2.8)岁。统计围手术期和随访期间各类并发症的发生情况及发生率,将有并发症和无并发症的患者进行分组比较,分析并发症发生的危险因素。结果本组随访24~78个月,平均37.2个月。首次生长棒手术使脊柱获得平均(4.3±2.0)cm生长,后续撑开过程中脊柱每年获得平均(1.1±0.7)cm生长。19例发生了26个并发症,患者的并发症发生率为57.6%,平均每例发生1.4个并发症。共有156次手术操作,单次手术的并发症发生率为16.7%。Logistic回归分析显示,使用单棒、皮下置棒和撑开次数(≥6次)是发生并发症的危险因素。结论生长棒技术治疗早发性脊柱侧凸能够在矫正畸形的同时维持脊柱的生长,但是治疗周期长,并发症发生率高。使用单棒、皮下置棒和撑开次数(≥6次)是发生并发症的危险因素。
Objective To investigate the complications and risk factors of growth-stick technique in the treatment of early-onset scoliosis. Methods From January 2008 to June 2014, 33 cases of patients with early-onset scoliosis treated with growth bar technique were retrospectively analyzed, including 18 males and 15 females. The age of first surgery was 5 to 9 years old, with an average of (6.4 ± 2.8) years. Statistics perioperative and follow-up of various complications during the occurrence and incidence of complications and non-complication of patients were grouped and analyzed the risk of complications. Results The group was followed up for 24 to 78 months, an average of 37.2 months. The first growth bar surgery resulted in an average (4.3 ± 2.0) cm spine growth and an average (1.1 ± 0.7) cm spine growth per follow-up spine. Twenty-six complications occurred in 19 patients, with a complication rate of 57.6% and an average of 1.4 complications per patient. A total of 156 surgical procedures, a single surgical complication rate was 16.7%. Logistic regression analysis showed that the use of single stick, subcutaneous stick and distraction times (≥ 6 times) are risk factors for complications. Conclusion The growth-stick technique for early-onset scoliosis can maintain spine growth while correcting deformities, but the treatment cycle is long and the complication rate is high. The use of a single stick, subcutaneous stick and distraction times (≥ 6 times) are risk factors for complications.