| 胸椎侧凸后路凸侧胸廓成形术后胸腔并发症及其预防 |
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投稿时间：2008-01-21
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| 作者 | Author | 单位 | Address | E-Mail |
| 朱泽章 |
ZHU Ze-zhang |
南京大学医学院附属鼓楼医院脊柱外科，江苏 南京 210008 |
Department of Spine Surgery,Gulou Hospital Affiliated of Medical College of Nanjing University,Nanjing 210008,Jiangsu,China |
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| 邱勇 |
QIU Yong |
南京大学医学院附属鼓楼医院脊柱外科，江苏 南京 210008 |
Department of Spine Surgery,Gulou Hospital Affiliated of Medical College of Nanjing University,Nanjing 210008,Jiangsu,China |
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| 王斌 |
WANG Bin |
南京大学医学院附属鼓楼医院脊柱外科，江苏 南京 210008 |
Department of Spine Surgery,Gulou Hospital Affiliated of Medical College of Nanjing University,Nanjing 210008,Jiangsu,China |
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| 俞杨 |
YU Yang |
南京大学医学院附属鼓楼医院脊柱外科，江苏 南京 210008 |
Department of Spine Surgery,Gulou Hospital Affiliated of Medical College of Nanjing University,Nanjing 210008,Jiangsu,China |
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| 钱邦平 |
QIAN Bang-ping |
南京大学医学院附属鼓楼医院脊柱外科，江苏 南京 210008 |
Department of Spine Surgery,Gulou Hospital Affiliated of Medical College of Nanjing University,Nanjing 210008,Jiangsu,China |
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| 朱锋 |
ZHU Feng |
南京大学医学院附属鼓楼医院脊柱外科，江苏 南京 210008 |
Department of Spine Surgery,Gulou Hospital Affiliated of Medical College of Nanjing University,Nanjing 210008,Jiangsu,China |
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| 期刊信息：《中国骨伤》2008年，第21卷，第4期，第249-251页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的：探讨青少年特发性胸椎侧凸后路凸侧胸廓成形术的胸腔并发症原因，并提出预防措施。
方法：对2003年12月至2007年9月行脊柱侧凸后路矫形内固定术和凸侧胸廓成形术，并有完整资料的胸椎侧凸患者548例进行回顾性分析。其中男167例，女381例；年龄12～38岁，平均16.1岁。术前剃刀背畸形16°～50°，平均35°。
结果：凸侧胸廓成形的肋骨切除数平均4.1根。术后剃刀背畸形2°～17°，平均7°。1例(0.2%)术后呼吸困难需间歇性吸氧，29例(5.3%)术中发生壁层胸膜穿孔，其中5例术后胸腔积液，3例气胸。6例(1.1%)患者术中并无明显胸膜穿孔，但术后出现术侧胸腔积液。
结论：提高手术技巧，术后严密监测呼吸状态，早期积极处理，可减少凸侧胸廓成形术后胸腔并发症的发生。 |
| 【关键词】脊柱侧凸 胸椎 胸廓成形术 手术中并发症 手术后并发症 |
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| Thoracic complications of convex thoracoplasty in patients with thoracic scoliosis |
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ABSTRACT
Objective: To analyze thoracic complications related to the convex thoracoplasty for the treatment of rib hump deformity in patients with thoracic scoliosis.
Methods: Between December 2003 and September 2007,548 patients with thoracic scoliosis underwent posterior spinal correction and the convex thoracoplasty. There were 167 male and 381 female, with an average age of 16.1 years(range,12 to 38 years). The mean preoperative rib prominence was 35°(range,16° to 50°).
Results: The mean number of resected ribs was 4.1. The mean rib prominence was 7°(range 2° to 17°)after operation. No death happened. Thoracic complications related to the thoracoplasty consisted of respiratory insufficiency in 1(0.2%)patient,intraop- erative tear of parietal pleura in 29(5.3%),with a subsequent pleural effusion in 6 and pneumothorax in 3. In the other patien- ts,no obvious tear of parietal pleura was found during operation. However,6(1.1%) patients had pleural effusion after operati -on.
Conclusion: The thoracic complications related to convex thoracoplasty can be decreased by improving the surgical skill and using respiratory function monitoring. |
| KEY WORDS Scoliosis Thoracic vertebrae Thoracoplasty Intraoperative complications Postoperative complications |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 朱泽章,邱勇,王斌,俞杨,钱邦平,朱锋.胸椎侧凸后路凸侧胸廓成形术后胸腔并发症及其预防[J].中国骨伤,2008,21(4):249~251 |
| 英文格式: | ZHU Ze-zhang,QIU Yong,WANG Bin,YU Yang,QIAN Bang-ping,ZHU Feng.Thoracic complications of convex thoracoplasty in patients with thoracic scoliosis[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(4):249~251 |
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