两种手术方法治疗特发性脊柱侧凸的效果比较

The effects of two surgical treatment on idiopathic scoliosis

目的比较经胸腔镜前路微创矫形术与传统前路矫形术治疗特发性脊柱侧凸的临床效果。方法70例特发性脊柱侧凸患者在知情同意情况下，按患者意愿分为A组和B组各35例，A组采用胸腔镜下前路微创矫形术，B组采用传统前路矫形术，比较两组手术时间、并发症、住院时间、患者满意率、总有效率及治疗前后的Cobb角等。结果A组手术时间（225．6±30．8）min、住院时间（2．7±0．8）d均短于B组[（365．4±23．8）min、（4．8±1．2）d]（t=3．26、3．78，均P〈0．05），A组并发症发生率8．6％明显低于B组的20．0％（X^2=3．45，P〈0．05），患者满意率（97．1％）及总有效率（97．1％）均高于B组（80．0％、85．75％）（X^2=2．85、3．01，均P〈0．05），Cobb角（14．2±5．4）。小于B组（23．4±5．6）。（t=2．97，P〈0.05）。结论经胸腔镜前路微创矫形术治疗特发性脊柱侧凸临床效果较传统前路矫形术疗效好、并发症发生率低，值得临床推广应用。

Objective To study and compare the effects of different surgical operation in treatment of adoles- cent idiopathic seoliosis. Methods 70 patients with adolescent idiopathic seoliosis and patients informed consent were selected as research object, and they were divided into group A 35 cases and group B 35 cases according to their willingness, and they were separately treated with videoassisted anterior thoracoscopic correction and traditional anterior thoracoscopie correction, then the surgical time, complications, hospital stays, rates of patients satisfaction, total effective rate and Cobb, before and after the treatment were detected and compared. Results The surgical time [ （225.6 ±30. 8）min ] and hospital stays [ （ 2. 7±0. 8） d ] of group A were all shorter than those of group B [ （ 365.4±23.8） min, （4. 8 ± 1.2） d ] （ t = 3.26,3.78, all P 〈 0. 05 ）, complications rate （ 8. 6% ） was lower than that of group B （ 20. 0% ） （ X^2 = 3.45, P 〈 0. 05 ）, rates of patients satisfaction （ 97.1% ） and total effective （ 97. 1% ） were higher than those of group B （ 80.0%, 85.75 % ） （ X^2 = 2.85,3.01, all P 〈 0.05 ）, Cobb （ 14.2 ±5.4 ） ° was smaller than that of group B （ 23.4±5.6） ° （ t = 2.97,P 〈 0.05 ）. Conclusion The effect of videoassisted anterior thoracoscopie correction in treatment of adolescent idiopathic seohosis was good, and complications rate was low and it was worthy of extend and application.