本文關(guān)鍵詞： 超聲檢查 診斷 髖關(guān)節(jié) 新生兒 干預(yù)　出處：《中國(guó)矯形外科雜志》2015年01期 　論文類(lèi)型：期刊論文

【摘要】：[目的]運(yùn)用Graf法對(duì)小兒髖關(guān)節(jié)進(jìn)行超聲檢查并分類(lèi),針對(duì)不同類(lèi)型小兒髖關(guān)節(jié)采取不同干預(yù)方式,評(píng)價(jià)干預(yù)效果,以避免過(guò)度治療發(fā)生。[方法]2011年2~3月,對(duì)112名小兒雙側(cè)髖關(guān)節(jié)進(jìn)行超聲檢查,112名小兒均未發(fā)現(xiàn)內(nèi)外科疾患,其中男64名,女48名。采用Graf法檢查并記錄測(cè)量結(jié)果。對(duì)于60°α角≥43°髖關(guān)節(jié)均進(jìn)行不同程度的干預(yù);43°α角髖關(guān)節(jié)立即給予Pavlik吊帶治療并2周復(fù)查1次。4周后進(jìn)行超聲復(fù)查,記錄測(cè)量結(jié)果并進(jìn)行統(tǒng)計(jì)分析。[結(jié)果]新生兒期,α角及β角均呈正態(tài)分布。α角可信區(qū)間為(59.67±0.41)°,β角可信區(qū)間為(71.78±0.61)°。兩組為負(fù)相關(guān)(r=-0.46,P0.01)。針對(duì)α角55°髖關(guān)節(jié)4周后進(jìn)行復(fù)查,α角明顯增大(P=0.00,t=-7.60),β角減小(P=0.00,t=4.10)。Ⅲ、Ⅳ型髖關(guān)節(jié)給予Pavlik吊帶治療后,髖關(guān)節(jié)病理狀況明顯改善。[結(jié)論]針對(duì)小兒髖關(guān)節(jié)超聲檢查結(jié)果采用不同程度的護(hù)理及治療,可以阻止小兒髖臼異常發(fā)育,避免過(guò)度治療。
[Abstract]:[Objective: to evaluate the effect of different types of hip joint intervention in order to avoid overtreatment by using Graf method to detect and classify the hip joint in children. [Methods: from 2011 to March, 112 children with bilateral hip joint were examined by ultrasound. No internal and surgical diseases were found in 112 children, including 64 males. 48 women were examined by Graf method and the results were recorded. All hip joints with 60 擄偽 angle 鈮，

本文編號(hào)：1491214