| 摘要: |
| 【摘要】 目的：探讨Graf法高频超声技术对6月龄内婴幼儿发育性髋关节异常（developmental dysplasia of the hip,DDH）临床诊断的应用价值。方法：选用2014年1月-2017年6月期间我院925例首次行髋关节超声波检查的6月龄内婴幼儿，观察髋臼形态、头臼匹配关系等，按Graf法测量α角和β角并分型。结果：925例患儿均为双侧髋关节受检，其中男婴352例，女婴573例，总共检查1850个髋关节。其中I型1456例（78.7%），IIa型198例（10.7%），IIb型132例（7.4%），IIc型39例（2.11%），D型3例（0.16%），III/IV型（脱位髋关节）22例（1.19%）。结论：Graf法髋关节超声检查是一种安全，便捷的检查方法，对于易导致以后脱位的但临床体检不易发现的发育不良髋关节有较高的检出率，因此对婴幼儿DDH的早期诊断有重要的临床价值。 |
| 关键词: 发育性髋关节异常 Graf法 高频超声 |
| DOI： |
| 投稿时间：2017-10-12修订日期：2017-12-01 |
| 基金项目: |
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| Prevalence of different typing developmental dyslpasia of hip use high-frequency sonography |
| chen huizhen |
| () |
| Abstract: |
| [abstract]objective to investigate the sonography value of the clinical diagnosis of developmental dysplasia of the hip(DDH) in infant by Graf method.methods 925 cases of infant within 6 months of age in our hospital who recieved high-frequency sonography diagnosis first time between January 2014 and June 2017 were collected, the shape of acetabular and the match of femoral head and acetabular were observed,α and β angle were measured and classified by Graf medthod.Result the bilateral hips of 925 cases of infant were checked.of these,352 cases were male, and the other 573 cases were female,1850 cases of hip-joint were included.Graf sonography diagnostic typing result was 1456 cases type I (normal,78.7%),198 hips type IIa(less mature,10.7%),132 hips type IIb (dysplasia,7.4%),39 cases type IIc(dysplasia,2.11%),3 cases type D(decentered joint,0.16%),22 cases type III/IV(dislocated,1.19%).Conclusion hip sonography by Graf method is safe and convenient,with high screening rate of dysplasia which would lead to dislocation but can not be easily found by clinical body examination.Therefore,it is important to early screen and diagnose of DDH. |
| Key words: DDH,Graf,sonography |
