| 摘要: |
| 目的 探讨积分分级法超声评估婴儿髋关节发育临床应用问题。方法 应用Graf法、Morin法以及骨顶比值法的关键技术，设计出一种全面、综合的髋关节发育评估方法，将α角大小、骨缘区形态和髋臼骨性顶窝形、髂骨基线对应股骨头位置以及髋臼盂唇尖部对应髋臼骨顶位置关系4项指标列为计分参数，参照以下分级方法及标准对婴儿髋关节进行评估：1级，发育成熟髋关节，0～1分；2级，轻度发育不良髋关节，2～4分；3级，重度发育不良髋关节，5～8分；4级，脱位髋关节，9～12分。通过对各类型婴儿髋关节的评估，将积分分级法评估结果与多种方法综合评估结果进行对照分析。结果 超声检查婴儿髋关节3614例，综合评估分析结果，发育成熟髋关节2578例；轻度发育不良髋关节911例；重度发育不良髋关节77例；脱位髋关节48例。积分分级法评估结果，全部与综合评估分析结果符合。结论 积分分级法评估婴儿髋关节是一种比较全面、客观、结果可靠的方法，受操作者主观因素影响小，可以避免或减少单一测量方法容易出现误差的情况。积分分级法可以作为Graf法等单项检查的辅助手段。 |
| 关键词: 超声 发育性髋关节异常 Graf法 Morin法 骨顶比值法 积分分级法 |
| DOI： |
| 投稿时间：2018-04-26修订日期：2019-04-01 |
| 基金项目: |
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| The clinical application of Integral Grading Ultrasound to evaluate the Infant Hip Joint Development |
| tuchangyu |
| () |
| Abstract: |
| Objective To discuss the clinical application of integral grading to evaluate infant hip joint development by ultrasound. Methods The comprehensive evaluation method of hip joint development was designed using the key techniques of Graf,Morin and hip joint bony roof ratio method .The alpha Angle, Bone margin morphology and acetabular osseous fossa, the iliac baseline to the femoral head, and the corresponding position between the apex of the acetabular glenoid labium and acetabular roof were taken as the scoring parameters. Assessment of the hip joint in infants with the following grading methods and criteria: Grade 1, mature hip, 0-1 points; Grade 2, mild dysplastic hip, 2-4 points; Grade 3, severely dysplastic hip,5-8 points; Grade 4, dislocated hip, 9 ~ 12 points. By evaluating the hip joint of various types, the results of Integral Grading Ultrasound Method with the comprehensive evaluation of multiple methods were analyzed. .Results 3614 cases of infant hip joint were examined by Ultrasonography, and the results of comprehensive evaluation showed that 2578 cases were mature hip joint, 911 cases weremild dysplasia hip joint, 77 cases were severe dysplasia hip joint, and 48 cases were dislocation hip joint. The comprehensive evaluation results were all in conformity with the results of Integral Grading Ultrasound. Conclusions Evaluation of infant hip joint by Integral Grading Ultrasound was more comprehensive, objective and a reliable method, which is less affected by subjective factors of operators. It could avoid or reduce the error prone to the single measurement method. The Integral Grading Ultrasound method could be used as an auxiliary means for single item examination such as Graf method. |
| Key words: Ultrasound Developmental dysplasia of the hip joint Graf method Morin method Ridge ratio method Integrated grading method |
