[1]曾美惠,黄诗雯,李佳怡.超声检查在发育性髋关节发育不良患者治疗中的应用价值[J].中国中医骨伤科杂志,2022,30(09):43-46.
　ZENG Meihui,HUANG Shiwen,LI Jiayi.Application Value of Ultrasonic Measurement on the Joint in Children with Development Dysplasia Hip[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(09):43-46.
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超声检查在发育性髋关节发育不良患者治疗中的应用价值()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年09期
页码:
43-46
栏目:
临床研究
出版日期:
2022-09-15

文章信息/Info

Title:
Application Value of Ultrasonic Measurement on the Joint in Children with Development Dysplasia Hip
文章编号:
1005-0205(2022)09-0043-04
作者:
曾美惠1; 黄诗雯1; 李佳怡2
1联勤保障部队第九〇九医院(厦门大学附属东南医院)超声科(福建 漳州,363000)
2联勤保障部队第九〇九医院(厦门大学附属东南医院)妇产科
Author(s):
ZENG Meihui1; HUANG Shiwen1; LI Jiayi2
1Ultrasound Department of the 909 Hospital of the Joint Service Support Force(Southeast Hospital Affiliated to Xiamen University),Zhangzhou 363000,Fujian China; 2Department of Obstetrics and Gynecology of the 909 Hospital of the Joint Service Support Force(Southeast Hospital Affiliated to Xiamen University),Zhangzhou 363000,Fujian China.
关键词:
发育性髋关节发育不良;  髋臼形态;  超声检查;  疗效;  危险因素
Keywords:
developmental dysplasia of the hip;  acetabular morphology;  ultrasonography;  efficacy;  risk factors
分类号:
R684
文献标志码:
A
摘要:
目的:分析Graf法超声测定髋臼形态及α,β角对发育性髋关节发育不良(DDH)患者髋关节发育的分型诊断及对Pavlik吊带的疗效评估价值。方法:选取2018年8月至2021年2月收治的120例DDH患者,采用Graf法超声测定髋臼形态及α,β角,应用Graf法对髋关节发育情况进行分型。采用单因素、多因素Cox回归分析影响Pavlik吊带治疗效果的危险因素。结果:120例DDH患者共135患髋(15例双侧患病),根据超声检查Graf分型标准:Ⅱc型49髋,Ⅱd型16髋,Ⅲ型38髋,Ⅳ型32髋。135患髋经过Pavlik吊带治疗后共有111患髋(82.22%)治愈,其中髋臼形态及α,β角以及Graf分型与疗效存在相关性(P<0.05),髋臼形态良好、α角为43°～60°、β角为55°～77°、Graf分型为Ⅱc型患者具有更高的治愈率。单因素及多因素Cox回归分析结果表明髋臼形态和α,β角以及Graf分型是Pavlik吊带治疗效果的独立危险因素(P<0.05)。结论:Pavlik吊带治疗DDH疗效较好,随着Graf法分型的严重程度上升,疗效呈降低趋势,其中Graf法超声测定髋臼形态及α,β角是影响疗效的独立危险因素。
Abstract:
Objective:To study the typing diagnosis of hip development in children with developmental hip dysplasia(DDH)by ultrasonic measurement of acetabular morphology and α,β angle by Graf method and the efficacy evaluation value of Pavlik sling.Methods:120 children with DDH admitted to our hospital from August 2018 to February 2021 were selected.The acetabular morphology and α and β angle values were determined by Graf ultrasound,and the development of hip joint was classified by Graf method.Univariate and multivariate Cox regression were used to analyze the risk factors affecting the therapeutic efficacy of Pavlik sling.Results:There were 135 hips in 120 children with DDH(15 cases of bilateral disease).According to the Graf classification criteria of ultrasound examination:49 hips of type Ⅱc,16 hips of type Ⅱd,38 hips of type Ⅲ,and 32 hips of type Ⅳ.A total of 111 hips(82.22%)of 135 hips were cured after Pavlik sling treatment.Among them,the shape of the acetabulum,α and β angle values,and the Graf classification are related to the curative efficacy(P<0.05).Children with good acetabular morphology,α angle of 43° to 60°,β angle of 55° to 77° and Graf type Ⅱc were more likely to be cured.Univariate and multivariate Cox regression analysis were shown that the shape of the acetabulum,α and β angle values and Graf classification were independent risk factors for the treatment efficacy of Pavlik sling(P<0.05).Conclusion:Pavlik sling has good curative efficacy on the treatment of DDH.As the classification of Graf method increases,the curative efficacy tends to decrease.Among them,the ultrasonic measurement of acetabular shape and α and β angle values by Graf method are risk factors that affect the curative efficacy.

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更新日期/Last Update: 2022-09-10