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題 名 | Curve Patterns and Etiologies of Scoliosis: Analysis in a University Hospital Clinic in Taiwan=臺灣脊椎側彎症彎曲類型及病因之分析 |
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作 者 | 邱益立; 黃聰仁; 許文蔚; | 書刊名 | 長庚醫學 |
卷 期 | 21:4 1998.12[民87.12] |
頁 次 | 頁421-428 |
分類號 | 416.61 |
關鍵詞 | 脊椎側彎症; 彎曲類型; 病因; 學校篩選; Scoliosis; Curve pattern; Etiology; School screening; |
語 文 | 英文(English) |
中文摘要 | 背景:脊椎側彎症彎曲型態的特性和其致病原因,在許多國家和不同種族,均已 被廣泛討論過,但在東方人的報告則較少。本文的目的是要找出台灣脊椎彎曲患者的致病原 因的頻率和其彎曲型態的特性。 方法:從1994年7月到1997年12月間,共有648位脊椎側彎症新病患在長庚醫院就診。每位患 者均接受全脊椎站立X-光檢查,這些前瞻性的資料收集,以進行分析。 結果:本研究中發現側彎病因仍以自發性脊椎側彎最多見,佔86%,其次是先天性的(6%) 和神經肌肉性的(5%)脊椎側彎。我們的病人中,單純的胸椎側彎是最常見的類型,佔37% ,其次是單純腰椎側彎(30%),複型脊椎側彎(13%),單純胸腰椎側彎(13%)和複型胸椎側 彎 (6.6%)。最常見的彎曲型態是胸椎右彎(28%)和腰椎左彎(22 %),這兩種被定義為典 型的彎曲。非典型彎曲(胸椎左彎和腰椎右彎)的平均彎曲度數較小,且較少見大的彎曲。在 我們的患者中,平均彎曲度數在8歲到12歲間逐步增加,並在11歲時平均度數超過20度。 結論:自發性脊椎側彎是台彎脊椎彎曲患者最常見的致病原因。在我們的患者中,自發性脊 椎側彎男女的比例是1:4.3,但是非自發性脊椎側彎患者中,則沒有明顯的性別差異( p<0.001)。兒童型自發性脊椎側彎患者中,左側彎曲型態明顯地較全體自發性脊椎側彎患 者常見(p=0.006)。非典型彎曲較不易惡化,且較少造成大的彎曲。建議在臺灣學生脊椎側 彎篩檢的適當年齡可從11歲開始。 |
英文摘要 | Background: The curvature characteristics and etiologies of scoliosis have been well documented in many countries and among different races but have seldom been reported for Asians. We aimed to determine the etiology frequency and curvature characteristics of scoliotics in Taiwan. Materials and Methods: From July 1994 through December 1997, 648 new patients with scoliosis were examined. A whole spine standing radiographic study was taken for each patient. The data were collected prospectively for analysis. Results: Idiopathic scoliosis was the leading type in our series(86%), followed by congenital(6%) and neuromuscular scoliosis(5%). Single thoracic curve was the most common curve pattern(37%), followed by single lumbar(30%), double major( 13%), single thoracolumbar(13%), and double thoracic curve(6.6%).The most frequent types of curve were right thoracic(28%) and left lumbar curve(22%), and these were defined as typical curves. The average curve magnitude was smaller in patients with atypical curves(left thoracic or right lumbar) and large curves were not commonly seen. The average curve magnitude increased in patients from the ages of 8 to 12 years and it exceeded Cobb's angle of 20°at the age of 11. Conclusion: Idiopathic scoliosis is the most frequent etiology of scoliosis in Taiwan. In our series, idiopathic scoliosis was female predominant(4.3:1), but there were no gender ratio differences in non-idiopathic patients(p<0.001). Left thoracic curve occurred more often in juvenile idiopathic scoliotics (p=0.006). Atypical curves were more resistant to curve progression and seldom induced large curves. School scoliosis screening beginning at age 11 is adequate and offective in Taiwan. |
本系統中英文摘要資訊取自各篇刊載內容。