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青少年特发性脊柱侧凸的针对性非手术治疗进展

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青少年特发性脊柱侧凸(AIS)属脊柱侧凸最常见的一类,这种三维的脊柱畸形易发生在身高快速生长的青春期.该疾病不仅会对患者的运动能力、内脏功能等产生生理上的损害,还会对患者的自我形象及心理健康造成严重的负面影响.因此时处于身高生长的重要阶段,只有病情相对严重的脊柱侧凸患者才会考虑手术治疗,且手术治疗的风险较大.而非手术疗法能够在无创或微创条件下有效改善脊柱的侧凸状态,对轻中度的脊柱侧凸患者尤其有益.目前,非手术疗法主要包括支具疗法、运动疗法、电刺激疗法和中医疗法等多种手段.针对不同的情况与可能的诱因,采用相对应的策略,多法并用,可以起到更佳的效果.本文对青少年特发性脊柱侧凸的潜在诱因、表现症状及不同病情的非手术治疗措施进行综述,以期为青少年脊柱侧凸的临床防治及基础研究提供科学依据.
Advances in targeted non-surgical treatments for adolescent idiopathic scoliosis
Adolescent idiopathic scoliosis(AIS) is the most prevalent type of scoliosis,which is a three-dimensional spinal deformity easily manifested during the rapid growth phase of puberty.AIS not only imposes physiological impairments on motor abilities and internal organ functions,but also significantly impacts the self-image and psychological well-being.Given the crucial stage of height development,surgical intervention is only recommended to severe cases due to the high risk.Non-surgical treatments provide non-invasive or minimally invasive alternatives to effectively ameliorate spinal curvature,thus benefiting patients with mild-to-moderate scoliosis.Currently,multiple non-surgical approaches are available,including bracing,exercise therapy,electrical stimulation therapy,and traditional Chinese medicine(TCM) methods.By adopting tailored strategies that address individual circumstances and potential triggers,and employing a combination of these methods,optimal outcomes can be achieved.This article provided a comprehensive review of the potential causes,presenting symptoms,and non-surgical treatment measures for AIS,aiming to provide a scientific basis for clinical prevention,treatment,and basic research.

ScoliosisAdolescentsNon-surgical treatmentTherapeutic progress

胡清源、邓丽愿、杨新月

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丽水学院医学院,浙江丽水 323000

脊柱侧凸 青少年 非手术治疗 治疗进展

2025

中国疗养医学
中国煤矿工人北戴河疗养院

中国疗养医学

影响因子:0.584
ISSN:1005-619X
年,卷(期):2025.34(1)