發(fā)布時(shí)間：2018-03-20 00:08

  本文選題：髖關(guān)節(jié)發(fā)育不良　切入點(diǎn)：髖脫位　出處：《第三軍醫(yī)大學(xué)學(xué)報(bào)》2017年07期 　論文類型：期刊論文

【摘要】：目的探討外展支具早期治療髖關(guān)節(jié)發(fā)育不良(developmental dysplasia of the hip,DDH)的療效,并分析影響療效的因素。方法回顧性分析我院2013年10月至2015年6月收治的223例(270髖)髖關(guān)節(jié)發(fā)育不良患兒資料,其中男性53例,女性170例;年齡1~183(62.41±23.82)d,中位年齡58 d;左側(cè)151髖,右側(cè)119髖,單側(cè)142髖,雙側(cè)64髖;超聲Graf分型:Ⅱa型143髖,Ⅱb型75髖,Ⅱc型11髖,D型13髖,Ⅲ型19髖,Ⅳ型9髖,均采用外展支具治療,每隔3~4周超聲監(jiān)測(cè)髖關(guān)節(jié)形態(tài)變化,6個(gè)月行X線攝片,支具治療時(shí)間3~20周,隨訪時(shí)間12~24個(gè)月,平均16.4個(gè)月。結(jié)果 206例(250髖)經(jīng)外展支具治療后恢復(fù)正常形態(tài),且無(wú)一例發(fā)生股骨頭壞死;17例(20髖)治療失敗,其中17髖改行石膏固定術(shù)治療,3髖行Salter骨盆截骨手術(shù)治療。結(jié)論外展支具是早期治療髖關(guān)節(jié)發(fā)育不良安全、有效的方法之一,對(duì)GrafⅡ型髖關(guān)節(jié)治愈率高,對(duì)Ⅲ型及Ⅳ型治愈率低,但可嘗試作為初始治療的方法;超聲檢查對(duì)于早期診治髖關(guān)節(jié)發(fā)育不良具有重要意義。
[Abstract]:Objective to investigate the effect of abductor brace in the early treatment of developmental dysplasia of the dystrophy of hip joint, and to analyze the factors influencing the effect. Methods the data of 223 cases of hip dysplasia from October 2013 to June 2015 in our hospital were retrospectively analyzed. Among them, 53 cases were M, 170 cases were F.The age was 62.41 鹵23.82 d, median age was 58 days; left #number0# hips, right 119 hips, unilateral 142 hips, bilateral 64 hips; Ultrasound Graf classification: type 鈪，

本文編號(hào)：1636617