思春期側弯症手術中の血圧低下に関する矯正操作と画像学的検討
目的：思春期側弯症手術中の血圧低下を前向きに調査し，矯正操作，術前画像との関係を検討することである．対象と方法：20歳以下の脊柱側弯症後方手術例30名を対象に，矯正操作時の血圧低下の発生について調査した．結果：血圧低下を20％（6名）に計8回認め，ロッド設置時4回，RR時1回，DVR時3回であった．これらの操作中は胸郭への圧迫の程度に配慮し，血圧の変動に留意する必要がある．...
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| Published in | Journal of Spine Research Vol. 11; no. 11; pp. 1279 - 1284 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 日本脊椎脊髄病学会
20.11.2020
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 1884-7137 2435-1563 |
| DOI | 10.34371/jspineres.2020-1104 |
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| Abstract | 目的：思春期側弯症手術中の血圧低下を前向きに調査し，矯正操作，術前画像との関係を検討することである．対象と方法：20歳以下の脊柱側弯症後方手術例30名を対象に，矯正操作時の血圧低下の発生について調査した．結果：血圧低下を20％（6名）に計8回認め，ロッド設置時4回，RR時1回，DVR時3回であった．これらの操作中は胸郭への圧迫の程度に配慮し，血圧の変動に留意する必要がある． |
|---|---|
| AbstractList | 目的：思春期側弯症手術中の血圧低下を前向きに調査し，矯正操作，術前画像との関係を検討することである．対象と方法：20歳以下の脊柱側弯症後方手術例30名を対象に，矯正操作時の血圧低下の発生について調査した．結果：血圧低下を20％（6名）に計8回認め，ロッド設置時4回，RR時1回，DVR時3回であった．これらの操作中は胸郭への圧迫の程度に配慮し，血圧の変動に留意する必要がある． |
| Author | 藤田, 有紀 石橋, 恭之 熊谷, 玄太郎 浅利, 享 和田, 簡一郎 田中, 直 |
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| References | 1) Alecianu D, Skolnick ET, Pinto AC, et al: Severe hypotension in the prone position in a child with neurofibromatosis, scoliosis and pectus excavatum presenting for posterior spinal fusion. Anesth Analg. 2004; 98: 334-335 6) Campbell RM Jr, Smith MD, Mayes TC, et al: The characteristics of thoracic insufficiency syndrome associated with fused ribs and congenital scoliosis. J Bone Joint Surg Am. 2003; 85: 399-408 2) Bafus BT, Chiravuri D, van der Velde, et al: Severe hypotension associated with the prone position in a child with scoliosis and pectus excavatum undergoing posterior spinal fusion. J Spinal Disord Tech. 2008; 21: 451-454 8) Naria VM, Gardin L, Ryan G, et al: A transesophageal echocardiography examination clarifies the cause of cardiovascular collapse during scoliosis surgery in a child. Can J Anesth. 2011; 58: 451-455 4) Aaro S, Dahlborn M: The longitudinal axis rotation of the apical vertebra, the vertebral, spinal, and rib cage deformity in idiopathic scoliosis studied by computer tomography. Spine. 1981; 6: 567-572 5) Kilda A, Basevicius A, Barauskas V, et al: Radiological assessment of children with pectus excavatum. Indian J Pediatr. 2007; 74: 143-147 3) Yang J, Skaggs DL, Chan P, et al: Raising mean arterial pressure alone restores 20% of intraoperative neuromonitoring losses. Spine. 2018; 43: 890-894 10) Tauchi R, Kawakami N, Tsuji T, et al: Evaluation of thoracic factors after scoliosis surgery in patients with both scoliosis and pectus excavatum. Eur Spine J. 2018; 27: 381-387 7) Easwar TR, Hong JY, Yang JH, et al: Does lateral vertebral translation correspond to Cobb angle and relate in the same way to axial vertebral rotation and rib hump index? A radiographic analysis on idiopathic scoliosis. Eur Spine J. 2011; 20: 1095-1105 9) Chu ZG, Yu JQ, Yang ZG, et al: Correlation between sternal depression and cardiac rotation in pectus excavatum: evaluation with helical CT. AJR Am J Roentgenol. 2010; 195: W76-W80 |
| References_xml | – reference: 8) Naria VM, Gardin L, Ryan G, et al: A transesophageal echocardiography examination clarifies the cause of cardiovascular collapse during scoliosis surgery in a child. Can J Anesth. 2011; 58: 451-455 – reference: 9) Chu ZG, Yu JQ, Yang ZG, et al: Correlation between sternal depression and cardiac rotation in pectus excavatum: evaluation with helical CT. AJR Am J Roentgenol. 2010; 195: W76-W80 – reference: 1) Alecianu D, Skolnick ET, Pinto AC, et al: Severe hypotension in the prone position in a child with neurofibromatosis, scoliosis and pectus excavatum presenting for posterior spinal fusion. Anesth Analg. 2004; 98: 334-335 – reference: 10) Tauchi R, Kawakami N, Tsuji T, et al: Evaluation of thoracic factors after scoliosis surgery in patients with both scoliosis and pectus excavatum. Eur Spine J. 2018; 27: 381-387 – reference: 4) Aaro S, Dahlborn M: The longitudinal axis rotation of the apical vertebra, the vertebral, spinal, and rib cage deformity in idiopathic scoliosis studied by computer tomography. Spine. 1981; 6: 567-572 – reference: 5) Kilda A, Basevicius A, Barauskas V, et al: Radiological assessment of children with pectus excavatum. Indian J Pediatr. 2007; 74: 143-147 – reference: 6) Campbell RM Jr, Smith MD, Mayes TC, et al: The characteristics of thoracic insufficiency syndrome associated with fused ribs and congenital scoliosis. J Bone Joint Surg Am. 2003; 85: 399-408 – reference: 3) Yang J, Skaggs DL, Chan P, et al: Raising mean arterial pressure alone restores 20% of intraoperative neuromonitoring losses. Spine. 2018; 43: 890-894 – reference: 2) Bafus BT, Chiravuri D, van der Velde, et al: Severe hypotension associated with the prone position in a child with scoliosis and pectus excavatum undergoing posterior spinal fusion. J Spinal Disord Tech. 2008; 21: 451-454 – reference: 7) Easwar TR, Hong JY, Yang JH, et al: Does lateral vertebral translation correspond to Cobb angle and relate in the same way to axial vertebral rotation and rib hump index? A radiographic analysis on idiopathic scoliosis. Eur Spine J. 2011; 20: 1095-1105 |
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| Snippet | 目的：思春期側弯症手術中の血圧低下を前向きに調査し，矯正操作，術前画像との関係を検討することである．対象と方法：20歳以下の脊柱側弯症後方手術例30名を対象に，矯... |
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| SubjectTerms | 低血圧 手術 脊柱側弯症 |
| Title | 思春期側弯症手術中の血圧低下に関する矯正操作と画像学的検討 |
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