女性青少年特发性脊柱侧凸患者自我形象评估的相关影响因素分析

The relative factors of self-image in female adolescent idiopathic scoliosis

中文关键词:  青少年特发性脊柱侧凸  自我形象评估  影响因素

英文关键词:Adolescent idiopathic scoliosis  Self-image  Relative factors

中文摘要:

  【摘要】 目的：探讨女性青少年特发性脊柱侧凸（adolescent idiopathic scoliosis，AIS）患者自我形象评估的影响因素。方法：回顾性分析2010年9月~2011年3月在我院就诊的252例女性AIS患者，年龄１２～１８岁，平均14.5±1.8岁。均摄取患者站立位全脊柱正侧位X线片，并独立填写一份简体中文版SRS-22问卷。在站立位全脊柱正侧位X线片上测量Cobb角、顶椎旋转度、胸椎后凸角、腰椎前凸角、脊柱冠状面力线偏移及脊柱矢状面力线偏移等参数。采用相关分析研究各临床指标与自我形象评分的相关性。结果：患者平均Cobb角35.5°±12.8°；平均顶椎旋转度2.0°±0.7°；平均胸椎后凸角16.2°±9.0°；平均腰椎前凸角51.3°±9.8°；平均脊柱冠状面力线偏移1.2±0.7cm；平均脊柱矢状面力线偏移2.4±1.5cm；平均体重指数18.3±2.2；平均自我形象评分16.7±2.8分。胸弯和胸腰弯/腰弯的自我形象评分均与主弯Cobb角有相关性（r分别为-0.171，-0.225，P均<0.05）；其中大角度胸弯组呈显著相关（r=-0.484，P=0.005）。而其他参数与患者自我形象评估均无明显相关性（P均>0.05）。结论：女性AIS患者的自我形象主要受主弯Cobb角的影响，其中大角度胸弯患者的自我形象受主弯Cobb角的影响最大。

英文摘要:

  【Abstract】 Objectives: To assess the influencing factors of self-image in adolescent idiopathic scoliosis girls.Methods: Retrospective analysis of 252 AIS girls, selected from September 2010 to March 2011, with mean age of 14.5±1.8 years(range from 12 to 18 years). All patients took the standing posteroanterior and lateral radiographs of spine and the completed simplified Chinese version of SRS-22 questionnaire. The Cobb angle apical vertebral rotation, thoracic kyphosis, lumber lordosis, C7PL, and SVA were evaluated. The relationships between these clinical index and self-image results were assessed using correlation analysis． Results： The patients was included in this sudy with mean Cobb angle 35.5° ± 12.8°; mean apical rotation 2.0±0.7°; mean thoracic kyphosis 16.2±9.0°; mean lumber Lordosis 51.3±9.8°; mean C7-CSL 1.2±0.7cm; mean SVA 2.4±1.5cm; mean BMI 18.3±2.2; mean self-image 16.7 ± 2.8. Correlation analysis showed the major Cobb angle as the significant predictor of self-image in thoracic curve and lumbar curve groups. For the subgroup of thoracic AIS patients with Cobb angle >45°, the correlation was more significant（r=-0.484，P=0.005）. There was no significant correlation between other factors and self-image results. Conclusions: The self-image in female AIS, especially in thoracic female AIS, is influenced by the large Cobb angle.