广东省汕头市12881名初中生脊柱侧凸调查分析

Survey analysis of idiopathic scoliosis in 12 881 junior middle school students from Shantou city,Guangdong province

目的 分析广东省汕头市初中生特发性脊柱侧凸（AIS）调查结果.方法 对2013年10月至2015年1月汕头市10所中学共12 881名初中生进行脊柱侧凸调查.采用三阶段检查法（学校筛查、医院复查、照片排查）,体检采用＂二位五面观检查法＂,X线平片为全脊柱站立位正侧位,测量Coob角≥10°者诊断为脊柱侧凸.结果 筛查可疑体征学生1 543名,阳性率11.98%.遵嘱到院进一步检查263名,有效反馈率17.04%;符合AIS诊断标准136名,确诊率51.71%.结论 汕头市初中生脊柱侧凸患病情况不容乐观,开展地区性青少年脊柱侧凸患病率普查是必要的.

Objective To study the survey outcome of idiopathic scoliosis （ AIS） in 12 881 junior middle school students from Shantou city ,Guangdong province.Methods From October 2013 to January 2015,the survey of AIS was carried out in 12 881 junior middle school students from 10 middle schools in Shantou city ,Guangdong province.Three methods such as school screening ,hospital review and X -ray film examination were used.The two five surface checking method was used as physical examination method .X-ray was used to slicing a positive lateral view of the whole spine as standing position.The persons whose Cobb angles ≥10°were diagnosed as AIS.Results The amount of individual with suspicious signs were 1 543 students,the suspected rate was 11.98%.Meanwhile,a further checking was conducted by hospital to 263 students,the response rate was 17.04% and 136 students were diagnosed as AIS.The positive rate of AIS was 51.71%.Conclusion The prevalence of AIS in junior middle school students in Shantou city is higher than national average level.Therefore,it is necessary to attach attention to the census for AIS.