超声在婴幼儿异常髋关节治疗中的应用价值
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福建省立医院,福建省立医院

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2013年福建省卫生厅面向农村和城市社区推广适宜技术项目计划(2013007)


Value of ultrasonography in developmental dysplasia of the hip in infants
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    目的 探讨超声在婴幼儿异常髋关节治疗中的监测应用价值。方法 对本院收治的32个IIc及以上分型的异常髋关节进行治疗,联合应用Graf法及Morin法对其进行疗效监测并指导治疗。结果 所有32个髋关节均转为正常型,治疗后与治疗前的α角有显著性差异(P<0.05);治疗后的股骨头覆盖率较治疗前有显著性差异(P<0.05),其中1个异常髋(IV型)接受Pavlik吊带治疗失败,及时进行石膏外固定后亦成功转正常型。结论 联合应用超声Graf法及Morin法 ,对小儿异常髋关节治疗的疗效有重要监测价值,并能有效地指导治疗方式。

    Abstract:

    Purpose To assess the clinical efficacy of ultrasonography in developmental dysplasia of the hip in infants. Methods 32 positive infants were treated,all were examined with the Grafe and Morin technique of hip sonography during the treatment,to assess the clinical efficacy and guide the clinical treatment. Results All of the 32 infants turned into normal types,there was statistical significance in the different αangle after the treatment. there was also statistical significance in the measurement of femoral head coverage. One type Ⅳ hip failed reduction after Pavlik harness treatment,but it turned into normal types after changing to spica casting in time. Conclusion The Grafe and Morin technique of hip sonography during the treatment of DDH is effective,it plays an important role in supervision and guidance during the treatment.

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张丽华,李建卫.超声在婴幼儿异常髋关节治疗中的应用价值[J].临床超声医学杂志,2017,19(10):

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  • 收稿日期:2016-12-14
  • 最后修改日期:2016-12-14
  • 录用日期:2017-02-14
  • 在线发布日期: 2017-10-26
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