摘要
目的 探讨超声检查在婴幼儿髋关节发育异常早期筛查中的应用及筛查的重要时点.方法 采用Graf静态超声波检查法,对402例(804个髋关节)0~6个月的婴幼儿进行髋关节检查,根据所测的超声测量值,进行不同月龄、性别、侧别及异常髋关节检出率之间的比较.对初筛为异常髋关节的患儿1个月后进行超声随访观察,评估治疗效果.结果 正常髋关节726个(90.2%),异常髋关节78个(9.70%),其中不稳定髋关节64个(7.96%)、DDH髋关节14个(1.74%).1月龄髋关节α、β角测值分别与2、3、4月龄比较差异均有统计学意义(P<0.05),2、3、4月龄间比较差异均无统计学意义(P>0.05).异常髋关节检出率,男婴、女婴分别为8.55%、17.2%,1、2、3、4月龄分别为53.85%、11.11%、11.83%、12.12%,左侧、右侧分别为10.1%、9.20%,不同性别(x^2=8.142,P=0.004)、不同月龄(x^2=483.257,P=0.000)异常髋关节检出率比较差异均有统计学意义,不同侧别比较差异无统计学意义(x^2=0.634,P=0.227).超声随访25例,随访率为32.05%,首次复查19例恢复正常,恢复率为76.00%.结论 超声检查可对婴幼儿髋关节发育情况及治疗效果进行客观评估,是一种安全、有效、可靠的方法.掌握筛查的重要时点,可以有效降低儿童髋关节疾病的发生率.
Objective To investigate the application of ultrasound in the early screening of hip joint abnormalities in infants and children and the important time of screening.Methods Graf static ultrasound was used to examine hip joints of 402 infants(804 hip joints)from 0 to 6 months.According to the measured ultrasound measurements,different ages,genders,sides and abnormalities were performed.Comparison between Hip Detection Rates.Ultrasound follow-up was performed one month after the screening of children with abnormal hip joints to evaluate the effect of treatment.Results There were 726 normal hip joints(90.2%),78 abnormal hip joints(9.70%),including 64 unstable hip joints(7.96%)and 14 DDH hip joints(1.74%).The 1-year-old hip joint α and β angle measurements were statistically difierent from those at 2,3,and 4 months of age(P<0.05),and there were no statistically significant differences between 2,3,and 4 months of age(P>0.05).The detection rates of abnormal hip joints were8.55% and 17.2% for male and fbmale infants respectively,and 53.85%,11.11%,11.83%,and 12.12%for 1,2,3,and 4 months of age,respectively for the left and right sides.10.1%,9.20%,different genders(X^2=8.142,P=0.004),different months of age(X^2=483.257,P=0.000)had significant differences in the detection rate of abnormal hip joints,and there was no difference in comparison between different sides(X^2=0.634,P=0.227).Twenty-five patients were followed up by ultrasound with a follow-up rate of 32.05%.Nineteen patients returned to nonnal for the first review and the recovery rate was 76.00%.Conclusion Ultrasound examination can objectively evaluate the hip joint development and treatment effect in infants and children,and it is a safe,effective and reliable method.Mastering the important points of screening can effectively reduce the incidence of childhood diseases.
出处
《浙江临床医学》
2020年第8期1196-1198,共3页
Zhejiang Clinical Medical Journal
关键词
超声检查
发育性髋关节异常
婴幼儿
筛查时点
跟踪随访
Ultrasound developmental
Hip joint abnormalities
Infants and young children
Screening time
Follow-up
