摘要
目的研究闭合复位术治疗发育性髋脱位（developmental dysplasia of the hip，DDH）的长期随访结果，分析复位后影响结果满意度的相关因素。方法对1997至2005年发育性髋脱位闭合复位后60例患者（共77髋）进行平均4．5年的随访，总结临床记录和影像学资料，统计分析影响结果满意度的相关因素。结果应用Severin影像学分级，77髋中56髋（73％）结果满意，Sevefin分级为Ⅰ-Ⅱ级；21髋结果为SevefinⅢ～Ⅵ级，其中17髋行二次复位或矫形手术。29髋（38％）发生了程度不同的缺血坏死。统计影响结果满意度的相关因素发现：复位时年龄是影响结果满意度的重要因素（P〈0．05），复位时年龄越小最后结果的满意度越高；股骨头缺血坏死也和结果满意度相关（P〈0．05）。结论婴幼儿发育性髋脱位应早期治疗，以提高结果优良率。
Objectives To retrospectively review the results of closed reduction for developmental dysplasia of the hip （ DDH ） , and analyze the causative for the dissatisfactory results of radiological. Methods From 1997 to 2005 the results of closed reduction for DDH in 60 children （77 hips） over 4. 5 years period were retrospectively reviewed. Radiological final results of the patients were evaluated with Severin classification. The causative factors made from medical records and radiographs were used to make statistical analysis. Results Seventy-three percent of the patients （56/77） had satisfactory results according to Severin classification. Twenty-one hips classed as Severin Ⅲ-Ⅴ. Seventeen of the 21 hips had a reconstructive procedure. Avascular necrosis was observed in 29 hips （38%）. The most important parameters affecting the result were age at reduction （ P 〈0.05 ） and avascular necrosis （ P 〈 0. 05 ）. Conclusions In order to achieve better clinical and radiological results, the infants suffering from the DDH should be treated in the early stage. The postoperative avascular necrosis usually leads to poor prognosis.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2009年第13期1017-1019,共3页
Chinese Journal of Surgery
关键词
髋脱位
先天性
治疗
临床研究性
闭合复位
Hip dislocation, congenital
Therapies,investigational
Closed reduction
