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：《中國矯形外科雜志》2015年01期 　論文類型：期刊論文

【摘要】：[目的]運用Graf法對小兒髖關(guān)節(jié)進行超聲檢查并分類,針對不同類型小兒髖關(guān)節(jié)采取不同干預(yù)方式,評價干預(yù)效果,以避免過度治療發(fā)生。[方法]2011年2~3月,對112名小兒雙側(cè)髖關(guān)節(jié)進行超聲檢查,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法檢查并記錄測量結(jié)果。對于60°α角≥43°髖關(guān)節(jié)均進行不同程度的干預(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周后進行超聲復(fù)查,記錄測量結(jié)果并進行統(tǒng)計分析。[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)°。兩組為負相關(guān)(r=-0.46,P0.01)。針對α角55°髖關(guān)節(jié)4周后進行復(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]針對小兒髖關(guān)節(jié)超聲檢查結(jié)果采用不同程度的護理及治療,可以阻止小兒髖臼異常發(fā)育,避免過度治療。
[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：1491214