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目的:探讨小儿半椎体畸形的外科治疗及相关问题。方法:手术治疗94例半椎体畸形患儿,按照术式分为单纯半椎体切除组及半椎体切除后路加压固定组,随访观察术后情况,比较治疗效果。结果:两组侧弯均得到控制,后路加压固定组侧弯矫正明显好于单纯组,但术后并发症较多。结论:小儿半椎体畸形应早期手术治疗,前后路切除半椎体并加压固定可获得较好的治疗效果。
Objective: To investigate the surgical treatment of hemivertebra deformity in children and related problems. Methods: Surgical treatment of 94 cases of hemivertebra deformity in children, according to surgical procedures were divided into simple hemi-vertebral resection group and hemivertebra resection posterior fixation group, followed up to observe the postoperative situation, the treatment effect. Results: The two groups of scoliosis were controlled. The posterior fixation group was significantly better than the simple group, but the postoperative complications were more. Conclusion: The treatment of hemivertebra deformity in children should be treated early, and the anterior and posterior resection of the hemivertebra and compression fixation can achieve better therapeutic effect.