| 摘要: |
| 【】 目的 探讨应用超声Graf 法筛查临床体征阳性合并其它高危因素婴儿发育性髋关节发育不良的临床价值。 方法 对488例在我院儿保科、儿科及儿外科就诊的婴儿,临床体检提示有臀纹或大腿纹不对称,下肢长度差异,髋外展受限等阳性体征同时合并其他高危因素(女性、臀位妊娠、家族史或伴有其他骨骼肌肉畸形等)的婴儿进行髋关节超声检查,采用Graf 法和Graf髋关节病理分型对所有检查结果进行统计和分析。 结果976个受检髋关节中,Ⅰ型髋关节914个, 占93.6% (914/976)；Ⅱ 型髋关节 49个,占 5.1% ( 49/976 ),其中 ⅡA型 25个,ⅡB 型13个,ⅡC 型 11个；D型髋关节4个,占0.4% (4/976)；Ⅲ 型髋关节7个,占0.7% ( 7/976 )； Ⅳ 型髋关节 2 个,占 0.2% ( 2/976 )。 结论 超声是筛查高危婴儿发育性髋关节发育不良的首选方法,并可比较不同高危婴儿之间发病率的差异性。 |
| 关键词: 超声 发育性髋关节发育不良 髋关节 |
| DOI： |
| 投稿时间：2016-05-05修订日期：2016-05-05 |
| 基金项目: |
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| The clinical value of high risk infants of ultrasound screening for developmental dysplasia of the hip |
| Li Gongxiang,Lin Xiaoying |
| () |
| Abstract: |
| Objectives To explore the clinical application of ultrasonic Graf method screening positive signs of merging other risk factors baby developmental dysplasia of the hip clinical value. Methods In 488 cases in our hospital son beaufoy, pediatrics and surgery clinic of infant, clinical examination suggests the asymmetry of the hip or thigh lines, lower limb length difference, such as the limited hip outreach abnormal signs and consolidate DDH was susceptible to other risk factors (female, breech pregnancy, family history or other musculoskeletal abnormalities, etc.) with the baby to hip ultrasound, Graf method and Graf hip pathology classification of all screening result statistics and analysis. Results Type 976 hip, tested Ⅰ hip 914, accounted for 93.6% (914/976); Ⅱ hip 49, 5.1% (49/976), including Ⅱ type A 25, Ⅱ type B 13, Ⅱ C type 11; 4 D hip, accounted for 0.4% (4/976); Hip Ⅲ type 7, 0.7% (7/976); Ⅳ hip 2, 0.2% (2/976). Conclusion Ultrasound screening high-risk infants developmental dysplasia of the hip is the preferred method, and compare the incidence of differences between different high risk infants. |
| Key words: ultrasonic Developmental dysplasia of thehip The hip joint |
