青少年脊柱侧弯的临床诊治进展

青少年特发性脊柱侧弯（AIS）既对患儿及家庭所造成的痛苦，也对患者家庭和国家财政都造成沉重的经济负担，引发各国及各级政府的高度关注。但是，随着对AIS了解的深入，质疑和犹豫也逐渐产生。本文回顾当前关于AIS的临床和基础研究结果，发现其中许多研究结论都充满了临床悖论。本文还通过总结作者单位的临床经验，提出的AIS诊治新原则。该原则利用脊柱对于AIS的充分代偿能力，改变聚焦于纠正脊柱畸形的传统理念，尽量维护脊柱的代偿平衡，同时避免对AIS患儿的歧视性宣传，避免诱导其发生心理自卑感。通过借鉴“代偿稳定、阴阳自和”等中医哲学理念可以在AIS等脊柱损伤退变性疾病的临床诊治过程中为患者争取最为实效的临床利益。

Clinical Research Progress of Adolescent Idiopathic Scoliosis

Adolescent Idiopathic Scoliosis （AIS） is one of diseases most difficult to be dealt with medically. Apart from the physiological suffering to the patient, AIS gives enormous financial pressure upon the involved family and state govern- ments of many countries, which earned a reputation as one of the toughest problems in medical field. The paper reviews the recent clinical studies about AIS and found that results of the modern researches are full of clinical paradox. The ambi guities or arguing about what we have done to AIS in the past arouses many debates in the field. The paper also put up some new ideas in treating AIS patient based on the author＇s clinical experiences, which makes full use of compensation power inside spinal column for maintaining self--balance. It changes the principle of the therapy from correcting the de formation of spine to assisting the compensating power inside the spine for self--balance system instead. It also put more weight on changing the attitude toward AIS children in order not to depress them psychologically, which make them psy chologieally ＂diseased＂ all of their life. Chinese philosophy will play an important role in author＇s idea of treating AIS pa- tients, which bases mostly on the nature rule of ＂Yin--Yang＂ self--balance and compensation system naturally existed in side spinal column. The reviews provide strong supports for that new idea of therapeutic principle will be practically significant in dealing with the patients suffering from AIS.