剪纸拼接与PS软件设计截骨矫正强直性脊柱炎后凸畸形的对比

发布时间：2018-03-10 09:34

  本文选题：脊柱炎　切入点：强直性　出处：《中国组织工程研究》2017年07期 　论文类型：期刊论文

【摘要】：背景:强直性脊柱炎胸腰椎后凸畸形的术前截骨设计方法多种多样,但是均有一定误差和局限性,尚无一种便捷、精确、能被广泛接受的方法。目的:比较剪纸拼接和Photoshop(PS)软件两种术前截骨设计对强直性脊柱炎后凸畸形的矫形效果。方法:纳入2009年6月至2015年1月于延安大学附属医院脊柱外科行截骨矫形的39例强直性脊柱炎合并胸腰椎后凸畸形患者,随机分为2组,剪纸拼接组19例采用传统剪纸拼接术前截骨设计,PS组20例采用PS软件行术前截骨设计。所有病例随访12-40个月,对比两组患者术后截骨角度误差和末次随访的矫形效果。结果与结论:(1)PS组的截骨角度误差显著小于剪纸拼接组(P0.05);(2)2组末次随访时脊柱骨盆关键矢状位参数(矢状位垂直轴、全脊柱后凸角、骨盆倾斜角)差异均有显著性意义(P0.05),PS组显著优于剪纸拼接组;(3)PS组末次随访的Oswestry功能障碍指数和SRS-22评分显著优于剪纸拼接组,差异有显著性意义(P0.05),但末次随访时2组目测类比评分差异无显著性意义(P0.05);(4)综上,对比传统剪纸拼接截骨设计,PS软件截骨设计具有更小的截骨角度误差和更好的术后脊柱矢状面平衡,能够指导手术医师精准的完成截骨手术,更精确的恢复脊柱矢状面平衡以及水平视角,有效避免矫正过度或者矫正不足。
[Abstract]:Background: ankylosing spondylitis of thoracolumbar kyphosis before osteotomy design a variety of methods, but have certain errors and limitations, there is a convenient and accurate method, can be widely accepted. Objective: To compare the paper-cut mosaic and Photoshop (PS) software of two preoperative design osteotomy on the correction effect of ankylosing spondylitis kyphosis. Methods: in June 2009 to January 2015 in Affiliated Hospital of Yan'an University spinal osteotomy 39 cases of ankylosing spondylitis of thoracolumbar kyphosis patients were randomly divided into 2 groups, 19 cases were treated by traditional mosaic paper-cut paper-cut mosaic preoperative osteotomy design, 20 cases using PS software before operation osteotomy design group PS. All patients were followed up for 12-40 months, the effect of orthopedic operation were compared between the two groups after osteotomy angle error and the last follow-up. Results and conclusion: (1) group PS osteotomy angle error is smaller than the paper-cut mosaic Group (P0.05); (2) the 2 groups at the end of the follow-up key spinopelvic sagittal parameters (sagittal vertical axis, the angle of kyphosis, pelvic tilt) with significant difference (P0.05), PS group was significantly better than that of paper-cut mosaic group; (3) Oswestry PS group at the end of the follow-up the disability index and SRS-22 scores were significantly better than the paper-cut mosaic group, with significant difference (P0.05), but no significant difference at the end of the follow-up of 2 groups of visual analogue score difference (P0.05); (4) the comparison of the traditional paper-cut mosaic design software PS osteotomy, osteotomy with smaller cross-sectional design bone angle error and better postoperative spinal sagittal balance, can guide the surgeon accurately complete osteotomy, restore more precise spinal sagittal balance and horizontal angle, avoid excessive or insufficient correction correction.

【作者单位】： 延安大学附属医院脊柱外科;西安交通大学第一附属医院骨科;延安大学附属医院胸外科;延安大学附属医院麻醉科;
【基金】：陕西省科技攻关项目(2015SF-115)~~
【分类号】：R687.31
，

本文编号：1592760