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目的:了解广东省阳江地区中、小学青少年儿童学生脊柱侧凸的患病率。方法:应用目前常用的脊柱侧凸三检筛选(体检、云纹照相、X线片),对广东省阳江市19646名7～16岁在校中、小学青少年儿童学生进行普查,体检及云纹照相阳性者行站立位全脊柱正侧X线片,采用Cobb法测量,Cobb角≥10°者确诊为脊柱侧凸。结果:19646名受检学生中一检阳性399人,阳性率2.03%;二检阳性175人,阳性率0.89%;三检阳性122人,阳性率0.65%;即广东省阳江地区中、小学生脊柱侧凸的患病率为0.65%,其中男性患病率0.62%,女性患病率7.8%,两者的患病率之比为1:1.26;Cobb角10°～19°103人,20°～29°18人,30°～39°10人,40°及以上者5人。结论:脊柱侧凸在青少年儿童时期有较高的患病率,开展青少年儿童脊柱侧凸普查对早期防治脊柱侧凸有着积极的意义。
Objective: To understand the prevalence of scoliosis among primary and middle school children in Yangjiang district of Guangdong province. Methods: The commonly used scoliosis screening (physical examination, moire, X-ray film) was used to screen 19646 young and middle school students aged 7-16 in Yangjiang City of Guangdong Province for screening, physical examination and moire The positive line of the camera was standing on the positive side of the spine X-ray film, Cobb method measurement, Cobb angle ≥ 10 ° were diagnosed as scoliosis. Results: Of the 19646 subjects tested, 399 were tested positive, the positive rate was 2.03%; the second test was positive 175, the positive rate was 0.89%; the three tests were positive 122, the positive rate was 0.65%; that is, the middle and primary school students’ spine The prevalence of scoliosis was 0.65%, with a prevalence rate of 0.62% in males and 7.8% in females, with a prevalence ratio of 1: 1.26; Cobb angles were 10 ° ~19 ° 103, 20 ° ~ 29 ° 18 people, 30 ° ~ 39 ° 10 people, 40 ° and above 5 people. Conclusions: Scoliosis has a high prevalence in adolescent children. It is of great significance to carry out the screening of scoliosis in adolescent children for early prevention and treatment of scoliosis.