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小兒發(fā)育性髖關(guān)節(jié)發(fā)育不良與先天性肌性斜頸的超聲篩查

發(fā)布時(shí)間:2018-04-16 01:28

  本文選題:發(fā)育性髖關(guān)節(jié)發(fā)育不良 + 先天性肌性斜頸��; 參考:《南方醫(yī)科大學(xué)學(xué)報(bào)》2017年07期


【摘要】:目的通過(guò)應(yīng)用超聲方法探討小兒發(fā)育性髖關(guān)節(jié)發(fā)育不良(DDH)與先天性肌性斜頸(CMT)早期篩查的意義,建立小兒DDH與CMT的同步篩查模式,提高DDH患兒的確診率。方法對(duì)2014年1月~2017年1月于我院就診的5060例疑似DDH與CMT小兒進(jìn)行常規(guī)超聲檢查,對(duì)兩種疾病的診斷結(jié)果按照臨床分型,不同DDH分型與不同CMT分型間是否有關(guān)聯(lián)性單因素采用χ~2檢驗(yàn),多因素采用對(duì)應(yīng)分析法進(jìn)行統(tǒng)計(jì)分析;疑似CMT就診來(lái)源小兒中CMT患兒與頸部正常小兒在DDH檢出率上的比較采用χ~2檢驗(yàn)。結(jié)果不同DDH分型與不同CMT分型間有關(guān)聯(lián)性(χ2=331.800,P0.001),對(duì)應(yīng)分析結(jié)果表明GrafⅡa型DDH小兒與腫塊型CMT小兒有關(guān)聯(lián),GrafⅡb型、GrafⅡc型、GrafⅢ型、GrafⅣ型DDH小兒與非腫塊型CMT小兒有關(guān)聯(lián);疑似CMT就診小兒中CMT患兒的DDH檢出率顯著高于頸部正常小兒(χ~2=321.889,P0.001)。結(jié)論 DDH與CMT的發(fā)病有較大的關(guān)聯(lián)性,應(yīng)盡早在臨床上開展DDH與CMT的同步篩查,有助有提高DDH患兒的早期診斷率。
[Abstract]:Objective to explore the significance of early screening of developmental hip dysplasia (DDH) and congenital muscular torticollis (CMT) in children by using ultrasound, and to establish a synchronous screening model of DDH and CMT in children, so as to improve the diagnosis rate of children with DDH.Methods from January 2014 to January 2017, 5060 children with suspected DDH and CMT were examined by conventional ultrasound. The diagnostic results of the two diseases were classified according to clinical classification.Whether there was correlation between different DDH typing and different CMT typing was analyzed by 蠂 ~ 2 test and multivariate correspondence analysis.蠂 2 test was used to compare the detection rate of DDH between children with CMT and normal children with neck in suspected CMT.Results there was a correlation between different DDH classification and different CMT classification (蠂 ~ 2 ~ (2) n ~ (331.800)) (P 0.001). The results of correspondence analysis showed that there was a correlation between Graf 鈪,

本文編號(hào):1756712

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