摘要
42例脊柱侧弯伴发胸廓驼峰畸形患者采用肋骨切除脊柱融合术治疗,其中19例同时加用器械固定(Harrington或Lugue)。切除的助骨作脊柱融合术的自体植骨材料。所有患者术后3个月均有新的肋骨生长,95%患者胸廓驼峰畸形均有明显改善。若同时联合器械纠正可获更好的效果。肋骨切除可使胸廓容量减少。术后第一周肺通气功能明显减少,以后逐步改善,术后2年可相当或超过术前水平。
42 cases of rib hump deformity complicating scoliosis were treated by rib resection and spinal fusion. In 19 cases, the procedure was combined with fixation using instument (Harrinton or Luque). For spinal fusion, the resected rib segment was used as autograft. In all cases, formation of new rib was seen in about three months and the rib hump deformity was greatly improved in 95% of the cases. The results were better in the cases wherein additional instrumental correction was used. As the thoracic cage volume was reduced by rib resection, pulmonary ventilation decreased in the first week after operation. However it gradully improved, and in about two years could approximate or even surpass the preoperative level.
出处
《上海第二医科大学学报》
CSCD
1990年第1期40-42,共3页
Acta Universitatis Medicinalis Secondae Shanghai
关键词
脊柱侧弯
胸郭驼峰畸形
scoliosis rib hump costectomy spinal fusion
