Abstract: 【Objective】 To explore the effects of early intervention in developmental dysplasia of hip. 【Methods】 For those,infants under six months who were diagnosed with developmental dysplasia of hip by Color Ultrasonic Doppler,according to the hyper acoustic results and their ages,we enacted different intervening strategies and therapeutic schedules,and also advised their parents conduct early intervention and regular follow-up interview. 【Results】 After these 73 of 122 hip joints of GrafIIa were reexamined and found that 71 of them had return to normal,and the other 2 of no avail also returned to normal after Pavlik hammock treat.8 of 10 of GrafIIb returned to normal after Pavlik hammock treat,and the other 2 also had return to normal after treat in children orthopedics department.2 of 3 hip joints of GrafIIc-IV had return to normal after receiving treat in children orthopedics department,and the other 1 took in an operation after non-effected traditional treat.23 of 41 hip joints without reexamination received X-ray check after six months.2 of them were diagnosed as DDH and back to normal after treat in children orthopedics department.The left 18 refused to take reexamination and another 8 lost contact. 【Conclusion】 Therefore it is concluded that the early intervention in developmental dysplasia of hip will help them progress towards normal hip joint structure.

Key words: developmental dysp lasia of hip, early intervention, follow-up interview

摘要： 【目的】 分析早期干预对发育性髋关节异常转归的影响及结果,为早期干预提供科学依据。 【方法】 对在本院经超声确诊的髋关节发育异常的0~6月儿童,根据超声分型结果及患儿年龄制定不同的干预方法和治疗方案,并指导家长进行早期干预和定期随访。 【结果】 通过早期干预及随访,诊断为GrafⅡa的122个髋关节有73个髋关节进行了复查,71个髋关节通过髋关节外展操转为正常,2个髋关节经髋关节外展操治疗无效,通过Pavlik吊带治疗后转为正常。诊断为GrafⅡb的10个髋关节通过Pavlik吊带治疗,8个髋关节转为正常,2个髋关节转小儿骨科治疗后转为正常。诊断为Graf Ⅱc-Ⅳ的3个髋关节在小儿骨科治疗,2个髋关节转为正常;1个髋关节经保守治疗无效后接受手术治疗。未复查彩超的41个髋关节有23个髋关节在6个月后接受X线检查,2个髋关节诊断为DDH,转小儿骨科治疗后转为正常;剩余18个髋关节拒绝复查;8个髋关节失去随访。 【结论】 早期干预可以促使绝大多数发育异常的髋关节向正常的髋关节结构转化。

关键词: 发育性髋关节异常, 早期干预, 随访