摘要
目的探讨常规静态超声在诊断临床疑似发育性髋关节异常患儿中的应用价值。方法对612名疑似发育性髋关节异常患儿的1224个关节进行超声检查，依据Graf法分型、Morin法评价关节的稳定性并动态追踪最终的发育结果。结果临床疑似病例中，87．4％分类为Ⅰ型形态学正常的髋关节，9．8％分类为Ⅱa型生理不成熟型关节，8．3％为Ⅱb型髋臼发育不良型关节，4．3％为Ⅱc型临床可疑型关节，2．2％为Ⅲ型半脱位髋关节型，2．9％为Ⅳ型脱位髋关节。1035个关节骨性髋臼覆盖率〉50％，189个关节骨性髋臼覆盖率〈50％。结论依据Graf法、Morin法评价髋关节并动态追踪，能降低发育性髋关节异常的过度治疗和治疗延误率。
Objective To investigate the value of the conventional static ultrasound in the diagnosis of infants who were suspected with developmental dysplasia of hip （DDH）. Methods A total of 1224 hips of 612 infants with clinical suspected DDH were evaluated by sonography and dynamic tracked and observate the development situation of hip to evaluate the hip stability according to the Graf method and Morin method. Results In the 1224 hips ,87.4% were morphologically normal hip （type Ⅰ ）, 9.8% were physiological immature（ type Ⅱ a）, 8.3% were acetabular dysplasia, 4.3% were critical zone hips （type Ⅱ c） , 2.2% were subluxation （ type Ⅲ ）, and 2.9% were dislocation （ type Ⅳ）. The acetabular bone coverage of 1 035 hips were 〉 50% , the acetabular bone coverage of 189 hips were 〈 50%. Conclusion According to the the Graf method and Morirl method, dynamic tracking can decrease the over-treatment and the rate of delay treatment of DDH.
出处
《临床小儿外科杂志》
CAS
2011年第5期345-347,共3页
Journal of Clinical Pediatric Surgery
基金
本研究为湖南省卫生厅科研课题（项目号B2007160）
关键词
超声检查
髋关节
Ultrasonography
Hip Joint
