本文選題：學(xué)齡前兒童　切入點(diǎn)：髖發(fā)育不良　出處：《重慶醫(yī)科大學(xué)》2013年碩士論文　論文類型：學(xué)位論文

【摘要】：目的探討Pemberton髖臼成形術(shù)治療學(xué)齡前兒童發(fā)育性髖關(guān)節(jié)發(fā)育不良（Developmental Dysplasia of the Hip，DDH）的適應(yīng)癥及優(yōu)缺點(diǎn)。 方法采用Mckay[1]臨床評價(jià)標(biāo)準(zhǔn)和髖臼指數(shù)（acetabular index,AI）矯正值，隨訪重慶醫(yī)科大學(xué)附屬兒童醫(yī)院2008年-2011年采用Pemberton髖臼成形術(shù)和Salter骨盆截骨術(shù)治療的學(xué)齡前兒童DDH中的67例（88髖）。Pemberton髖臼成形術(shù)組，52例(68髖)，術(shù)前AI＜45°有53髖，術(shù)前AI≥45°有15髖；髖臼發(fā)育不良和髖關(guān)節(jié)半脫位有15髖，，髖關(guān)節(jié)脫位有53髖。Salter骨盆截骨術(shù)組，15例20髖，術(shù)前AI均小于45°；髖臼發(fā)育不良和髖關(guān)節(jié)半脫位有8髖，髖關(guān)節(jié)脫位有12髖。 結(jié)果隨訪1-3年，平均2年，術(shù)前AI＜45°時，Pemberton髖臼成形術(shù)和Salter骨盆截骨術(shù)，均獲得良好臨床效果，兩術(shù)式矯正髖臼指數(shù)無明顯差異。術(shù)前AI＜45°和術(shù)前AI≥45°時，Pemberton髖臼成形術(shù)均獲得良好臨床效果；Pemberton髖臼成形術(shù)術(shù)前AI≥45°組手術(shù)矯正AI值明顯大于Salter骨盆截骨術(shù)組，Pemberton髖臼成形術(shù)對于術(shù)前AI≥45°需矯正髖臼指數(shù)較大的病例具有良好效果，AI矯正明顯優(yōu)于Salter骨盆截骨術(shù)。髖臼發(fā)育不良、髖關(guān)節(jié)半脫位組和髖關(guān)節(jié)脫位組，采用Pemberton髖臼成形術(shù)及Salter骨盆截骨術(shù)，均獲得良好臨床效果。 結(jié)論P(yáng)emberton髖臼成形術(shù)適應(yīng)癥較Salter骨盆截骨術(shù)適應(yīng)癥更加廣泛，創(chuàng)傷更小，對骨盆形狀及容積影響小，手術(shù)效果良好，可作為學(xué)齡前兒童DDH的首選截骨方式之一。
[Abstract]:Objective to investigate the indications, advantages and disadvantages of Pemberton acetabular angioplasty in the treatment of developmental Dysplasia of the hip dysplasia in preschool children. Methods Mckay [1] clinical evaluation criteria and acetabular index (acetabular index) were used. From 2008 to 2011, 67 preschool children with DDH treated with Pemberton acetabular plasty and Salter pelvic osteotomy were followed up in Chongqing Medical University affiliated Children's Hospital. In 67 cases of DDH, 88 hips were treated with Pemberton acetabular angioplasty, 52 cases with 68 hips with AI < 45 擄, 53 hips with preoperative AI 鈮

本文編號：1650780