广州市学生脊柱侧凸患病率调查报告

A survey on scoliosis in school-age population in Guangzhou

目的 了解广州市青少年儿童脊柱侧凸的患病率。方法 应用目前世界上通用的脊柱侧凸三检法 (体检、波纹照相、X线照片 ) ,对广州市 33798名 7～ 15岁在校学生进行普查 ,体检及波纹照相阳性者行脊柱全长X线正位片 ,采用Cobb法测量 ,Cobb角≥ 10°者确诊为脊柱侧凸。结果 33798名受检学生中一检阳性 886人 ,阳性率 2 6 .2‰ ;二检阳性 45 3人 ,阳性率 13.4‰ ;三检阳性36 1人 ,阳性率 10 .7‰ ,即广州市青少年儿童脊柱侧凸的患病率为 10 .7‰。其中男性患病率 9.0‰ ,女性患病率 12 .6‰ ,两者的患病率之比为 1/ 1.4。Cobb角 10°～ 19°32 1人 ,2 0°～ 39°32人 ,40°及以上者 8人。脊柱侧凸的患病类型 ;特发性侧凸 35 0人 ,占 96 .95 % ,先天性侧凸 6人 ,神经肌肉源性侧凸 5人。侧凸节段以胸腰段为多 ,其次为胸段、腰段及双弯。凸侧方向 :胸段以右侧弯为多 ,胸腰段及腰段以左侧为多。结论 脊柱侧凸在青少年儿童时期有较高的患病率 。

Objective To investigate the incidence of the scoliosis among school age population in Guangzhou.Methods 33 798 in school students between 7 to 15 years were examined for scoliosis by physical examination, moire topography and X ray examination. The Cobb's angle was measured for the suspected subjects. Results 361 students were definitely diagnosed to have scoliosis, with a prevalence of 10.7 / 1000 . The rate was 9.0 / 1000 in males and 12.6 /1000 in females. The male/female ratio was 1/ 1.4 . The main abnormality was idiopathic scoliosis, accounting for 96.95% . The Cobb's angle was 10°～19° in 321 ( 88. 92% ) 20°～39° in 32 ( 8.86% ), and 40° in 8 ( 2.22% )。Conclusions Scoliosis tends to develop in school age children and the investigation of scoliosis among school age population is of great importance for early diagnosis, effective prevention and treatment.