本文關(guān)鍵詞： 小兒雙側(cè)發(fā)育性髖關(guān)節(jié) 同期手術(shù) 手術(shù)方法 意義　出處：《新疆醫(yī)科大學(xué)》2012年碩士論文　論文類型：學(xué)位論文

【摘要】：目的：分析同期手術(shù)治療小兒雙側(cè)發(fā)育性髖關(guān)節(jié)脫位的手術(shù)方法和治療結(jié)果，評估該手術(shù)方法的意義。方法：通過對25例同期手術(shù)治療雙側(cè)發(fā)育性髖關(guān)節(jié)脫位患兒的隨訪，，采用Pemberton截骨或Salter截骨+股骨近端截骨的聯(lián)合截骨治療,行Pemberton截骨+股骨近端截骨29個髖關(guān)節(jié)，行股骨近端截骨32個髖關(guān)節(jié)，行Pemberton截骨2個髖關(guān)節(jié)，行Salter截骨2個髖關(guān)節(jié)，，對同期手術(shù)治療雙側(cè)發(fā)育性髖關(guān)節(jié)的療效進(jìn)行回顧性的分析，進(jìn)一步的闡明同期手術(shù)治療雙側(cè)發(fā)育性髖關(guān)節(jié)的意義。結(jié)果：隨訪時間3個月~4年，根據(jù)周永德等的術(shù)后恢復(fù)參考標(biāo)準(zhǔn)，優(yōu)17例，良5例，可2例，1例術(shù)后髖關(guān)節(jié)屈曲受限，關(guān)節(jié)輕度強(qiáng)直。髖臼指數(shù)由手術(shù)前30°~45°減少到手術(shù)后的15°~20°；前傾角由手術(shù)前45°~60°減少到手術(shù)后的15°~30°。結(jié)論：同期手術(shù)治療小兒雙側(cè)發(fā)育性髖關(guān)節(jié)脫位，是一種有效的治療小兒雙側(cè)發(fā)育性髖關(guān)節(jié)的方法，縮短整體治療時間，有助于患兒術(shù)后髖關(guān)節(jié)功能鍛煉。
[Abstract]:Objective: to analyze the surgical methods and results of simultaneous operation in the treatment of bilateral developmental dislocation of hip in children, and to evaluate the significance of the surgical method. Methods: 25 cases of children with bilateral developmental dislocation of hip were followed up by simultaneous operation. Pemberton osteotomy or Salter osteotomy combined with proximal femur osteotomy was used to treat 29 hip joints with Pemberton osteotomy, 32 hip joints with proximal femur osteotomy and 2 hip joints with Pemberton osteotomy. Salter osteotomy of two hip joints was performed to retrospectively analyze the effect of simultaneous operation on bilateral developmental hip joints, and to further clarify the significance of simultaneous surgical treatment of bilateral developmental hip joints. Results: the follow-up time was 3 months to 4 years. According to Zhou Yongde's standard of postoperative recovery, 17 cases were excellent, 5 cases were good, 2 cases were fair and 1 case had limited flexion of hip joint after operation. The acetabular index decreased from 30 擄to 15 擄/ 20 擄before operation and from 45 擄/ 60 擄to 15 擄/ 30 擄after operation. Conclusion: bilateral developmental dislocation of hip is treated by simultaneous operation. It is an effective method for the treatment of bilateral developmental hip joint in children. It can shorten the whole treatment time and help children to exercise hip joint function after operation.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2012
【分類號】：R726.8

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