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目的回顾性分析先天性脊柱侧凸患者的异常心血管表现,以提高对先天性脊柱侧凸合并心血管异常的认识。方法回顾性分析我院2004年1月至2009年8月诊治的509例先天性脊柱侧凸患者的临床资料。结果先天性脊柱侧凸患者心脏结构异常的发生率高达21.6%,先天性心脏病的发生率为8.4%,分流性先天性心脏病的发生率为5.6%,瓣膜病的发生率为15.2%,以二尖瓣病变为主。心电图主要异常为PR间期缩短(发生率为39.8%)、电轴右偏(发生率为14.6%)、QRS波增宽(发生率为6.4%)、QTc延长(发生率为4.7%)。分流性先天性心脏病患者中52.2%的患者在脊柱手术前早期接受心脏手术。结论先天性脊柱侧弯的心脏结构异常常见,可能存在心电活动的异常。建议某些分流性先天性心脏病患者在骨科脊柱侧凸矫型术前接受心脏手术。
Objective To retrospectively analyze the abnormal cardiovascular manifestations in patients with congenital scoliosis to improve their understanding of congenital scoliosis complicated with cardiovascular abnormalities. Methods The clinical data of 509 patients with congenital scoliosis diagnosed and treated in our hospital from January 2004 to August 2009 were retrospectively analyzed. Results The incidence of abnormal heart structure in congenital scoliosis patients was 21.6%, the incidence of congenital heart disease was 8.4%, the incidence of shunt congenital heart disease was 5.6% and the incidence of valvular disease was 15.2% The main mitral valve disease. The main ECG abnormalities were shortening of PR interval (39.8%), right axis deviation (14.6%), widening of QRS wave (incidence of 6.4%) and QTc prolongation (4.7%). 52.2% of patients with shunt congenital heart disease underwent cardiac surgery prior to spinal surgery. Conclusions Congenital cardiac sclerosis is common in cardiac structures and may have abnormal ECG activity. Some patients with shunt congenital heart disease are advised to undergo heart surgery prior to orthopedic orthopedic surgery.