农村中小学生脊柱侧弯的普查及早期诊断与治疗

Middle and Primary School Children Screeningfor Scoliosis in Rural Areas-early Diagnosis andTreatment

作者报告１９９０～１９９２年对农村６～１６岁学龄儿童８２６３人，以Ｍｏｉｒｅ照像及Ｘ线片为主要方法对脊柱侧弯进行普查及早期诊断。查出Ｃｏｂｂ角１０°以上脊柱侧弯１５８例，患病率为１９‰。其中特发性１５３例，占９６．９％，先天性５例，占３．１％。作者认为，本组发病率较高与采用以Ｍｏｉｒｅ照像及Ｘ线片为主要检查方法很少遗漏有关。本组３８例特发性脊柱侧弯１０°～３０°以上采用早期体疗及电刺激治疗。半年后３８例Ｘ线片复查结果：２８例侧弯下降５°～１２°，平均下降９°，占６４％；５例侧弯完全纠正占１８％，３０°以上５例治疗无效占１８％。本组总有效率为８２％。早期普查，早期诊断，早期非手术治疗可获得满意效果。部分患儿可避免手术治疗。

Abstract From 1990 to 1992,8,326 school children in therural area of Tianjin, in the age range of 6 ～ 16 Yearswere screened Jor scoliosis, using Moire photo and ra-diography.158 cases,including 153 cases(96.2%)ofidiopathic scoliosis and 5 cases ( 3.1%)of congenitalscoliosis were found with Cobb’angle)10°。The scolio-sis incidence rate was 1.9%,which is higher than thatreported in the Chinese literature. Possibly this is dueto the use of Moire photo and radiographic method. Early physical therapy and electric stimulation weredone for 38 cases of idiopathic scolisis with Cobb’s an-gle of 10°～30°, Re-examination half year later re-vealed a decrease of the Cobb’s angle to 5°～ 12°,and64%of the cases had an average angle of 9°,5 cases(18%)had complete correction. 5 cases (18%)withscoliosis of over 30°,showed noimprovement. The to-tal effective rate was 82%.The authors concludedthat,in a country of more than three hundred millionchildren in China,and a high incidence rate of scolio-sis,early detection and early conservative measures forthese cases are of paramount importance.