356例中小学脊柱侧弯患儿并发寰枢关节错位发病率及临床特征初探

The incidence and clinical features of atlantoaxial dislocation in 356 children with scoliosis in primary and secondary schools

目的:了解中小学脊柱侧弯患儿并发寰枢关节错位的发病率。方法:回顾本院确诊为脊柱侧弯患儿356例,查找病例档案,了解并发寰枢关节错位的发病率,并对其常见临床特征进行分析。结果:356例脊柱侧弯患儿中并发寰枢关节错位有185例,发病率为51.97%;不同年龄、性别寰枢关节错位的发病率比较,差异无统计学意义(P>0.05);汉族并发寰枢关节错位发病率较壮族高(P<0.05)。其临床特征以颈部易疲劳、上颈部肌肉紧张或痉挛症状、C_2局部压痛(+)为主,与其他症状比较,差异有统计学意义(P<0.05)。结论:中小学脊柱侧弯患儿并发寰枢关节错位的发病率较高;其临床特征表现以颈部易疲劳、上颈部肌肉紧张或痉挛症状、C_2局部压痛(+)为主。

Objective： To understand the incidence of atlantoaxial dislocation in children with scoliosis in primary and middle schools. Methods： To review 356 cases of scoliosis diagnosed in our hospital, find case files, understand the incidence of dislocation of atlantoaxial joint, and analyze its common clinical features.Results：185 of 356 children with scoliosis were complicated with atlantoaxial dislocation, the incidence rate was 51.97%;and the incidence of dislocation of atlantoaxial joint in different ages was not statistically significant（P0.05）; The incidence of atlantoaxial dislocation in Han nationality is higher than that of the Zhuang Nationality（P0.05）. Its clinical features were prone to fatigue in the neck, muscle tension or spasm of the upper neck, and C_2 local tenderness（＋）, and they have higher rate than other symptoms（P0.05）. CCoonncclluussiioonn：：The incidence of atlantoaxial dislocation in children with scoliosis in primary and middle schools is higher. The clinical characteristics were prone to fatigue of the neck, muscle tension or spasm of the upper neck, and C_2 local tenderness（＋）.