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特发性脊柱侧弯椎旁肌改变与手术治疗相关性的研究
Hits: 1969   Download times: 1171   Received:July 15, 1998    
作者Author单位UnitE-Mail
陈晓春 CHEN Xiao chun 沈阳医学院附属中心医院,辽宁沈阳110024 The Affiliated Hospital,Shenyang Medical College Liaoning Shenyang,110024  
朴成哲 PIAO Cheng zhe 沈阳医学院附属中心医院,辽宁沈阳110024 The Affiliated Hospital,Shenyang Medical College Liaoning Shenyang,110024  
杨军 YANG Jun 中国医科大学附属二院,辽宁沈阳  
李洪波 沈阳水泵厂职工医院,辽宁  
赤仁杰 沈阳医学院附属中心医院,辽宁沈阳110024 The Affiliated Hospital,Shenyang Medical College Liaoning Shenyang,110024  
期刊信息:《中国骨伤》2000年13卷,第3期,第131-132页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:探讨特发性脊柱侧弯椎旁肌病理改变与脊柱畸形的因果关系。

方法:对其术前、术后病人取标本进行组织化学及超微结构的研究。

结果:术后Cobb's角小于50°的患者椎旁肌基本正常、双侧肌力平衡;而Cobb's角仍大于50°者椎旁肌病理改变与术前病人相似、双侧肌力不平衡,凸侧明显大于凹侧。

结论:特发性脊柱侧弯椎旁肌病变是继发的,早期诊断、早期治疗有利于终止椎旁肌的继发性病理改变,使其得以最大限度的恢复。
[关键词]:脊柱侧凸  病理学  手术
 
Relationship between Surgical Treatment and Changes of Paravertebral Muscles in Idiopathic Scoliosis
Abstract:

Objective:To study the relationship between pathological changes of paravetebral muscles and deformity of the spine in idiopathic scoliosis(IS).

Methods:Histochemical and ultrastructural studies were carried out on the procured specimens of paravertebral muscles before and after the operation.

Results:In the patients of small Cobb's angle(<50°),paravertebral muscles were basically normal giving a balanced myodynamics of convex and concave side.However in the patients of larger Cobb's angle(>50°),although paravertebral muscles had no remarkable change,the myodynamics of the convex side was stronger than that of opposite side.

Conclusion:The change of paravertebral muscle in IS is a secondary in character.Early diagnosis and treatment of IS are benefit to avoid secondary pathological change of paravertebral muscles.
KEYWORDS:Scoliosis  Pathology  Surgical treatment
 
引用本文,请按以下格式著录参考文献:
中文格式:陈晓春,朴成哲,杨军,李洪波,赤仁杰.特发性脊柱侧弯椎旁肌改变与手术治疗相关性的研究[J].中国骨伤,2000,13(3):131~132
英文格式:CHEN Xiao chun,PIAO Cheng zhe,YANG Jun.Relationship between Surgical Treatment and Changes of Paravertebral Muscles in Idiopathic Scoliosis[J].zhongguo gu shang / China J Orthop Trauma ,2000,13(3):131~132
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