目的 探讨Halo-骨盆牵引(HPT)治疗重度脊柱侧弯畸形的效果及其对肺功能的影响。方法 回顾性分析2021-01至2023-10北京大望路急诊抢救医院收治的100例脊柱侧弯合并肺功能不全患者的临床资料作为研究对象,所有患者均行一期HPT牵引治疗和二期脊柱侧弯矫形术。牵引前、牵引末次复查、内固定术后,比较患者影像学指标和肺功能指标的变化情况。采用Pearson统计学相关性分析主弯Cobb角对肺功能指标的影响。结果 纳入患者肺功能结果显示,牵引前、牵引末次复查、内固定术后比较,限制性通气功能参数均存在不同程度增高(P＜0.05)。相关分析表明,随着主弯Cobb角减小,肺限制性通气功能参数呈显著负相关性(P＜0.05)。结论 HPT牵引能有效矫正重度脊柱侧弯畸形,改善呼吸功能,是一种安全、有效的辅助治疗措施。
Abstract
Objective To explore the effects of Halo pelvic traction (HPT) on severe scoliosis and lung function. Methods A retrospective analysis was conducted on the clinical data of 100 patients with scoliosis and pulmonary insufficiency admitted to Beijing Dawang Road Emergency Rescue Hospital from January 2021 to October 2023. All patients received primary HPT traction treatment and secondary scoliosis correction surgery. The changes of imaging indicators and pulmonary function indexes were compared before traction, after the last traction follow-up and after internal fixation surgery. Pearson statistical correlation was used to analyze the effect of the Cobb angle on the main curvature on lung function indicators. Results The results of lung function in the included patients showed that the restrictive ventilation function parameters increased in different degrees before traction, during the last traction follow-up and after internal fixation surgery (P<0.05). Correlation analysis showed that with the decrease of Cobb angle of the main curvature, lung restrictive ventilation function parameters were significantly negatively correlated (P<0.05). Conclusions HPT traction can effectively correct severe scoliosis deformity and improve respiratory function, which is a safe and effective adjunctive treatment measure.
关键词
Halo骨盆牵引 /
肺功能不全 /
重度脊柱畸形
Key words
Halo-pelvic traction /
pulmonary insufficiency /
severe spinal deformity
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基金
北京市朝阳区社会发展科技计划项目(CYSF2221)
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