发育性髋关节发育不良6 009例超声筛查结果分析

doi:10.11852/zgetbjzz2019-0308

中国儿童保健杂志 ›› 2019, Vol. 27 ›› Issue (10): 1112-1114.DOI: 10.11852/zgetbjzz2019-0308

发育性髋关节发育不良6 009例超声筛查结果分析

陆艳红^*, 陈星^*, 宋媛, 叶侃, 毛洪, 孔锐

苏州市立医院儿童保健科,江苏苏州 215002

收稿日期:2019-03-13 发布日期:2019-10-10 出版日期:2019-10-10
通讯作者: 宋媛,E-mail:1248930695@qq.com
作者简介:陆艳红(1977-),女,江苏人,副主任医师,研究生学历,主要研究方向为儿童骨关节发育;陈星(1990-),女,江苏人,公卫医师,研究生学历,主要研究儿童少年与妇幼保健。
注:^*共同为第一作者。

Analysis on ultrasonic screening results of developmental dysplasia of the hip in 6 009 infants

LU Yan-hong^*, CHEN Xing^*, SONG Yuan, YE Kan, MAO Hong, KONG Rui

Department of Children Health Care,Soochow Municipal Hospital,Suzhou,Jiangsu 215002,China

Received:2019-03-13 Online:2019-10-10 Published:2019-10-10
Contact: SONG Yuan,E-mail:1248930695@qq.com

摘要/Abstract

摘要： 目的了解苏州地区婴幼儿发育性髋关节发育不良(DDH)发生率,探讨超声筛查在幼儿DDH诊断中的临床价值。方法 2018年1-12月在苏州市立医院儿童保健科经临床检查高度怀疑DDH的6 009例,共12 018个髋关节,采用Graf高频超声技术观察婴幼儿髋关节形态,测量 α、β 角并进行分型,对结果进行统计分析。结果本次调查正常髋关节5 479例,DDH发病率为5.999%/(721/12 018),女性DDH的检出率高于男性(χ²=133.74,P<0.001)、左侧DDH的检出率高于右侧(χ²=12.22,P=0.002)。结论超声检查能有效地评估幼儿髋关节的发育,是婴幼儿DDH早期筛查和随访的主要手段,为早期诊断、早期治疗起到了重要作用。

关键词: 婴幼儿, 发育性髋关节发育不良, Graf超声筛查

Abstract: Objective To investigate the incidence of developmental hip dysplasia(DDH) among infants in Suzhou,in order to explore the clinical value of ultrasound screening in the diagnosis of DDH. Methods A total of 6 009(12 018 hips) infants suspected for DDH were selected as the participants in Soochow Municipal Hospital from January to December in 2018.All infants suspected for DDH were examined by ultrasonography,the α and β angles were measured and the category was made based on Results. Results There were 5 479 cases of normal hip joint and the incidence of DDH was 5.999%(721/12 018).The detection rate of DDH in female infants was significantly higher than that in male ones(χ²＝133.74,P<0.001).Also,the detection rate of DDH in left hips was significantly higher than that in right hips(χ²＝12.22,P=0.002). Conclusions Ultrasonic examination can assess the development of hips effectively.It can serve as a major method for early screening and follow-up of DDH in infants,and thus plays an important role in early intervention treatment.

Key words: infants, developmental dysplasia of the hip, Graf untrasonic screening

中图分类号:

R722.6

陆艳红, 陈星, 宋媛, 叶侃, 毛洪, 孔锐. 发育性髋关节发育不良6 009例超声筛查结果分析[J]. 中国儿童保健杂志, 2019, 27(10): 1112-1114.

LU Yan-hong, CHEN Xing, SONG Yuan, YE Kan, MAO Hong, KONG Rui. Analysis on ultrasonic screening results of developmental dysplasia of the hip in 6 009 infants[J]. journal1, 2019, 27(10): 1112-1114.

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发育性髋关节发育不良6 009例超声筛查结果分析

Analysis on ultrasonic screening results of developmental dysplasia of the hip in 6 009 infants

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