CAJ | 학술논문

对30例单侧发育性髋脱位(DDH)患儿闭合复位前后髋关节X线片进行测量,以自身健侧股骨头中心距离(CHDD)和髋臼指数为对照进行比较分析.结果显示:患髋CHDD不超过5%者,闭合复位后2年,其优良率达95%.而CHDD大于6%者.则67%的髋脱位治疗效果欠佳;髋臼指数明显改善发生在闭合复位后3～6个月.这些发现对DDH的保守治疗具有一定的指导意义.
대30례단측발육성관탈위(DDH)환인폐합복위전후관관절X선편진행측량,이자신건측고골두중심거리(CHDD)화관구지수위대조진행비교분석.결과현시:환관CHDD불초과5%자,폐합복위후2년,기우량솔체95%.이CHDD대우6%자.칙67%적관탈위치료효과흠가;관구지수명현개선발생재폐합복위후3～6개월.저사발현대DDH적보수치료구유일정적지도의의.
Thirty cases of unilateral developmental dislocation of the hip (DDH) were examined with radiography before and after closed reduction. The center-head distance discrepancy (CHDD) and acetabular index of the affected hip were compared with those of the unaffected ones. It showed that ninety-five percent of hips with a CHDD＜5had satisfactory results, while 67% with a CHDD＞6% had unsatisfactory results. The significant improvement in the acetabular index was seen in the first 3-6 months after colsed reduction. All these may be used as a clinical guide in closed reduction for DDH.