Please wait a minute...
文章检索
预防医学  2019, Vol. 31 Issue (10): 1017-1021    DOI: 10.19485/j.cnki.issn2096-5087.2019.10.010
  综述 本期目录 | 过刊浏览 | 高级检索 |
儿童青少年脊柱侧弯筛查和干预研究进展
邹艳1, 林云2, 章荣华1, 罗建勇2, 顾昉1, 孟佳1, 李娟娟1
1.浙江省疾病预防控制中心,浙江 杭州 310051;
2.嘉兴市疾病预防控制中心
Research progress in screening and intervention of scoliosis among children and adolescents
ZOU Yan*, LIN Yun, ZHANG Rong-hua, LUO Jian-yong, GU Fang, MENG Jia, LI Juan-juan
Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou,Zhejiang 310051,China
全文: PDF(689 KB)  
输出: BibTeX | EndNote (RIS)      
摘要 脊柱侧弯严重影响儿童青少年的身心健康,如不及时进行筛查和干预,会导致畸形程度加重,劳动能力下降,出现心肺并发症、腰背部疼痛甚至截瘫。本文对国内外脊柱侧弯的筛查和干预策略进行综述,发现我国对儿童青少年脊柱侧弯的筛查工作开展较少,筛查方法差异较大,结果难以横向比较,建议将脊柱侧弯筛查纳入学校的卫生保健工作中,制定准确性和安全性更高的筛查策略;同时,三维扫描和打印技术在脊柱侧弯筛查和干预中有较好的应用前景,值得进一步研究开发。
服务
把本文推荐给朋友
加入引用管理器
E-mail Alert
RSS
作者相关文章
邹艳
林云
章荣华
罗建勇
顾昉
孟佳
李娟娟
关键词 脊柱侧弯筛查干预儿童青少年    
Abstract:Scoliosis seriously affects the physical and mental health of children and adolescents. Without timely screening and intervention,it will lead to increased deformity,decreased labor capacity,cardiopulmonary complications,back pain and even paraplegia. This article reviews screening and intervention strategies for scoliosis at home and abroad. It concludes that there is lack of scoliosis screening in children and adolescents in China,and the screening results are difficult to compare horizontally because of the significant differences between strategies. It is suggested that scoliosis screening should be included in school healthcare work and formulate strategies with higher accuracy and safety. At the same time,three-dimension technology has good prospects in scoliosis screening and intervention,which is worthy of further development.
Key wordsScoliosis    Screening    Intervention    Children and adolescents
收稿日期: 2019-06-20      修回日期: 2019-07-25     
中图分类号:  R726.8  
作者简介: 邹艳,硕士,副主任医师,主要从事儿童青少年疾病防控工作
通信作者: 邹艳,E-mail:yzou@cdc.zj.cn   
引用本文:   
邹艳, 林云, 章荣华, 罗建勇, 顾昉, 孟佳, 李娟娟. 儿童青少年脊柱侧弯筛查和干预研究进展[J]. 预防医学, 2019, 31(10): 1017-1021.
ZOU Yan, LIN Yun, ZHANG Rong-hua, LUO Jian-yong, GU Fang, MENG Jia, LI Juan-juan. Research progress in screening and intervention of scoliosis among children and adolescents. Preventive Medicine, 2019, 31(10): 1017-1021.
链接本文:  
https://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2019.10.010      或      https://www.zjyfyxzz.com/CN/Y2019/V31/I10/1017
[1] 季成叶. 现代儿童少年卫生学[M]. 2版. 北京:人民卫生出版社,2010:461.
[2] WEINSTEIN S L,DOLAN L A,SPRATT K F,et al.Health and function of patients with untreated idiopathic scoliosis:a 50-year natural history study[J]. JAMA,2003,289(5):559-567.
[3] HA A S,BEAUCHAMP E C.Editorial on “Screening for adolescent idiopathic scoliosis:US preventive services task force recommendation statement”[J]. J Spine Surg,2018,4(4):812-816.
[4] BALAGUE F,PELLISE F.Adolescent idiopathic scoliosis and back pain[J]. Scoliosis Spinal Disord,2016,11(1):27.
[5] BETTANY-SALTIKOV J,WEISS H R,CHOCKALINGAM N,et al. Surgical versus non-surgical interventions in people with adolescent idiopathic scoliosis[J]. Cochrane Database Syst Rev,2015(4):CD010663.
[6] ASHER M A,BURTON D C.Adolescent idiopathic scoliosis:natural history and long term treatment effects[J]. Scoliosis,2006,1(1):1-10.
[7] WEINSTEIN S L,DOLAN L A,CHENG J C,et al.Adolescent idiopathic scoliosis[J]. Lancet,2008,371(9623):1527-1537.
[8] ZHU Z,TANG N L,XU L,et al.Genome-wide association study identifies new susceptibility loci for adolescent idiopathic scoliosis in Chinese girls[J]. Nat Commun,2015,6:1-6.
[9] WILLNER S.Moire topography for the diagnosis and documentation of scoliosis[J]. Acta Orthop Scand,1979,50(3):295-302.
[10] ASHWORTH M D.Measurement of the rib hump inclination:a potential aid in scoliosis screening[J]. Orthop Trans,1981,5:33.
[11] LONSTEIN J E,BJORKLUND S,WANNINGER M H,et al.Voluntary school screening for scoliosis in Minnesota[J]. J Bone Joint Surg Am,1982,19(4):481-488.
[12] JACKMAN K.Moiré fringe topography and spinal deformity[J]. Am J Dis Child,1982,136(6):565-566.
[13] RAMIREZ L,DURDLE N G,RASO V J,et al.A support vector machines classifier to assess the severity of idiopathic scoliosis from surface topography[J]. IEEE Trans Inf Technol Biomed,2006, 10(1):84-91.
[14] BERRYMAN F,PYNSENT P,FAIRBANK J,et al.A new system for measuring three-dimensional back shape in scoliosis[J]. European Spine Journal,2008,17(5):663-672.
[15] PATIAS P,GRIVAS T B,KASPIRIS A,et al.A review of the trunk surface metrics used as Scoliosis and other deformities evaluation indices[J]. Scoliosis,2010,5:1-20.
[16] 唐盛平,付桂兵,孙客,等. 前屈试验、脊柱测量仪与Cobb角的比较[J].中华小儿外科杂志,2006,27(7):372-374.
[17] PONCET P,KRAVARUSIC D,RICHART T,et al.Clinical impact of optical imaging with 3D reconstruction of torsotopography incommonanterior chest wall anomalies[J]. J Pediatr Surg,2007,42(5):898-903.
[18] GLINKOWSKI W,SITNIK R,WITKOWSKI M,et al.Method of pectusexcavatum measurement based on structure delight technique[J]. J Biomed Opt,2009,14(4):044041.
[19] KIM H H,LEE J W,CHAK S,et al.Three-dimensional assessment of upper lip positional changes according to simulated maxillary anterior tooth movements by white light scanning[J]. Korean J Orthod,2014,44(6):281-293.
[20] TENHAGEN M,BRUSE J L,RODRIGUEZFLOREZ N,et al.Three-dimensional handheld scanning to quantify head-shape changes in spring assisted surgery for sagittal craniosynostosis[J]. J Craniofac Surg,2016,27(8):2117-2123.
[21] HEBAL F,PORT E,HUNTER C J,et al.A novel technique to measure severity of pediatric pectus excavatum using white light scanning[J]. J Pediatr Surg,2018,54(4):656-662.
[22] CAI T,RYBICKI F J,GIANNOPOULOS A A,et al.The residual STL volume as a metric to evaluate accuracy and reproducibility of anatomic models for 3D printing:application in the validation of 3D-printable models of maxillofacial bone from reduced radiation dose CT images[J]. 3D Print Med,2015,1(1):1-9.
[23] ALTAF F,DRINKWATER J,PHAN K,et al.Systematic review of school scoliosis screening[J]. Spine Deform,2017,5(5):303-309.
[24] DUNN J,HENRIKSON N B,MORRISON C C,et al.Screening for adolescent idiopathic scoliosis:evidence report and systematic review for the US Preventive Services Task Force[J]. JAMA,2018,319(2):173-187.
[25] OHRT-NISSEN S,HALLAGER D W,HENRIKSEN J L,et al.Curve magnitude in patients referred for evaluation of adolescent idiopathic scoliosis:five years' experience from a system without school screening[J]. Spine Deform,2016,4(2):120-124.
[26] FONG D Y,CHEUNG K M,WONG Y W,et al.A population-based cohort study of 394,401 children followed for 10 years exhibits sustained effectiveness of scoliosis screening[J]. Spine J,2015,15(5):825-833.
[27] 陆健民,裘麟,赵光复,等. 脊柱侧弯的云纹照相普查法[J]. 上海第一医学院学报,1985,12(4):12-14.
[28] LIU S L,HUANG D S.Scoliosis in China. A general review[J]. Clin Orthop Relat Res,1996 (323):113-118.
[29] 刘尚礼,李卫平,李远景,等. 广东省青少年脊柱侧凸患病率调查报告[J]. 中国脊柱脊髓杂志,2002,12(1):41-43.
[30] 程斌,李锋涛,宋金辉. 西安市25 725名中小学生脊柱侧弯患病率调查[J]. 中国临床康复,2006,10(8):8-9.
[31] 王振堂,李中实,刘朝晖,等. 北京市中小学生脊柱侧凸患病率调查报告[J]. 中国脊柱脊髓杂志,2007,17(6):440-442.
[32] 唐占英,钱雪华,王拥军,等. 上海市在校小学生脊柱侧凸现状调查分析研究[C]//中华中医药学会骨伤分会第四届第二次会议论文汇编,2007.
[33] KENANIDIS E,PPTOUPNIS M E,PAPAVASILIOU K A,et al.Adolescent idiopathic scoliosis and exercising:is there truly a liaison?[J]. Spine,2008,33(20):2160-2165.
[34] NEGRINI S,AULISA A G,AULISA L,et al.2011 SOSORT guidelines:Orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth[J]. Scoliosis,2012,7(1):1-35.
[35] PARENT S,NEWTON P O,WENGER D R.Adolescent idiopathic scoliosis:etiology,anatomy,natural history,and bracing[J]. Instr Course Lect,2005,54:529-536.
[36] RIGO M,NEGRINI S,WEISS H R,et al.SOSORT consensus paper on brace action:TLSO biomechanics of correction (investigating the rationale for force vector selection)[J]. Scoliosis,2006, 1:1-8.
[37] SHAUGHNESSY W J.Advances in scoliosis brace treatment for adolescent idiopathic scoliosis[J]. Orthop Clin North Am,2007,38(4):469-475.
[38] COILLARD C,LEROUX M A,ZABJEK K F,et al.SpineCor--a non-rigid brace for the treatment of idiopathic scoliosis:post-treatment results[J]. Eur Spine J,2003,12(2):141-148.
[39] GUO J,LAM T P,WONG M S,et al.A prospective randomized controlled study on the treatment outcome of SpineCor braceversus rigid brace for adolescent idiopathic scoliosis with follow-up according to the SRS standardized criteria[J]. Eur Spine J,2014,23(12):2650-2657.
[40] DOLAN L A,WEINSTEIN S L.Surgical rates after observation and bracing for adolescent idiopathic scoliosis:an evidence-based review[J]. Spine,2007,32(Suppl 19):S91-S100.
[41] GIGNAC D,AUBIN C E,DANSEREAU J,et al.Optimization method for 3D bracing correction of scoliosis using a finite element model[J]. Eur Spine J,2000,9(3):185-189.
[42] COBETTO N,AUBIN C É,PARENT S,et al.3D correction of AIS in braces designed using CAD/CAM and FEM:a randomized controlled trial[J]. Scoliosis Spinal Disord,2017,12:1-8.
[43] CARTIAUX O,PAUL L,FRANCQ B G,et al.Improved accuracy with 3D planning and patient-specific instruments during simulated pelvicbone tumor surgery[J]. Ann Biomed Eng,2014,42(1):205-213.
[44] LI C,YANG M,XIE Y,et al.Application of the polystyrene model made by 3-D printing rapid prototyping technology for operation planning in revision lumbar discectomy[J]. J Orthop Sci,2015, 20(3):475-480.
[45] 张树芳,陈荣春,郭朝阳,等. 基于3D打印技术选择性椎弓根螺钉治疗青少年特发性脊柱侧凸[J]. 中国组织工程研究,2016, 20(48):7225-7231.
[1] 宋臻, 张嘉怡, 吴大东, 综述;龚霓, 审校. 围产期抑郁数字健康干预平台的研究进展[J]. 预防医学, 2025, 37(9): 907-912.
[2] 宋喜丽, 周金飒, 张腾, 吴淑霞. 医务人员吸烟相关行为调查[J]. 预防医学, 2025, 37(5): 521-525.
[3] 王启开, 弭亚楠, 刘好, 林嘉浩, 杨鑫源, 王越, 金千靖, 宋照猛. 高血压肾病患者膳食干预效果评价[J]. 预防医学, 2025, 37(4): 373-377.
[4] 郭亮梅, 宋文娟, 曾强. 老年人衰弱评估与干预的研究进展[J]. 预防医学, 2025, 37(3): 262-266.
[5] 李佳文, 熊小梅, 王育珊. 身体测量指标筛查代谢综合征的效果比较[J]. 预防医学, 2025, 37(2): 163-167,172.
[6] 郭世鸿, 黄婧靓, 陈燚, 李晴晴, 刘春婷, 贺云艳, 蒙婷婷, 周佳丽. 1990—2021年中国儿童青少年伤害疾病负担趋势分析[J]. 预防医学, 2025, 37(10): 1069-1074.
[7] 薛喆, 王思嘉, 卢兰兰, 王永, 龚清海, 沈鹏. 2011—2021年宁波市儿童青少年糖尿病发病趋势[J]. 预防医学, 2024, 36(9): 750-754.
[8] 梁薇, 任梦婷, 张文科, 杨琳, 王红雨. 滁州市中小学生脊柱侧弯筛查结果[J]. 预防医学, 2024, 36(7): 607-610.
[9] 蒋鸣孝, 李剑, 黄旭云. 上城区结直肠癌筛查结果分析[J]. 预防医学, 2024, 36(6): 501-505.
[10] 和金金, 朱陈, 潘婷婷, 黄文雯, 蒋秉洁, 余炜燕, 王乐, 吴维妙, 杭栋, 杜灵彬. 定性和定量粪便免疫化学试验筛查结直肠癌效果评价[J]. 预防医学, 2024, 36(4): 317-321.
[11] 胡军路, 冯慧慧, 陈文迪. 献血前健康筛查软件介绍及应用[J]. 预防医学, 2024, 36(4): 362-364.
[12] 牛贺, 王荣环, 鲍筝. 北京市通州区0~3岁儿童发育筛查结果[J]. 预防医学, 2024, 36(2): 165-168.
[13] 周颖, 李链, 边国林. 阿尔茨海默病多模式非药物干预的研究进展[J]. 预防医学, 2024, 36(12): 1045-1048,1051.
[14] 沈荣蕃, 李玮萍, 董子暄, 武佳敏, 何敏媚. 中国儿童青少年龋齿患病率的Meta分析[J]. 预防医学, 2024, 36(12): 1092-1096.
[15] 沈方力, 茅俭英, 孟杨, 朱礼明, 柏红, 汤德珍, 刘世友. 宝山区居民结直肠癌筛查结果分析[J]. 预防医学, 2024, 36(10): 869-872,877.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed