本文選題：發(fā)育性髖關(guān)節(jié)脫位 + 大齡兒童��； 參考：《中國(guó)矯形外科雜志》2017年09期

【摘要】：[目的]探討不同年齡組大齡發(fā)育性髖關(guān)節(jié)脫位(developmental dysplasia of the hip,DDH)患兒的手術(shù)治療效果。[方法]2006年11月~2014年6月采用髖關(guān)節(jié)切開(kāi)復(fù)位,骨盆Pemberton、Dega髖臼成形或三聯(lián)截骨,股骨旋轉(zhuǎn)短縮截骨結(jié)合內(nèi)收肌切斷等手術(shù)一期治療大齡兒童DDH 91例(104髖),按年齡情況將患兒分為兩組:低齡組(10歲):61例(70髖),年齡6~9.8歲,平均7.9歲。高齡組(≥10歲):30例(34髖),年齡10~15歲,平均12.5歲。[結(jié)果]91例術(shù)后均獲得隨訪,隨訪時(shí)間2~8年,根據(jù)Severin影像學(xué)評(píng)價(jià)標(biāo)準(zhǔn),低齡組:Pemberton術(shù)后優(yōu)良率91.43%,Dega術(shù)后優(yōu)良率85.71%,骨盆三聯(lián)截骨術(shù)后優(yōu)良率85.71%;高齡組:Pemberton術(shù)后優(yōu)良率58.33%,Dega術(shù)后優(yōu)良率50.00%,骨盆三聯(lián)截骨術(shù)后優(yōu)良率40.00%。根據(jù)Mckay臨床評(píng)價(jià)標(biāo)準(zhǔn),低齡組:Pemberton術(shù)后優(yōu)良率88.57%,Dega術(shù)后優(yōu)良率85.71%,骨盆三聯(lián)截骨術(shù)后優(yōu)良率85.71%;高齡組:Pemberton術(shù)后優(yōu)良率58.33%,Dega術(shù)后優(yōu)良率41.67%,骨盆三聯(lián)截骨術(shù)后優(yōu)良率40.00%。[結(jié)論]本研究針對(duì)6歲以上大齡DDH患兒的手術(shù)療效進(jìn)行隨訪,發(fā)現(xiàn)大齡DDH是可以選擇性的通過(guò)手術(shù)治療的,同時(shí)通過(guò)比較兩組患兒手術(shù)療效的差異,發(fā)現(xiàn)低齡組的術(shù)后臨床及影像學(xué)優(yōu)良率均高于高齡組,提示DDH患兒需要早期手術(shù)改善頭臼覆蓋關(guān)系,才有可能獲得較好的臨床效果。
[Abstract]:[objective] to investigate the effect of surgical treatment of developmental dysplasia of the (DDH) in children with developmental dislocation of the hip (DDH) in different age groups. [methods] from November 2006 to June 2014, open reduction of hip joint, pelvic Pembertonton-Dega acetabular formation or triple osteotomy were performed. 91 patients with DDH were divided into two groups according to their age: 61 cases (69.8 years) and 70 hips (average 7.9 years) in the low age group. The elderly group (鈮，

本文編號(hào)：2032288