CAJ | 학술논문

为确定超声检查在发育性髋关节发育不良诊断和治疗中的价值，应用超声波对经过临床和X线检查诊断为发育性髋关节发育不良患儿25例，28髋进行检查，并选用正常髋28侧作对照。结果：病理组的a角和股骨头覆盖率显著减小，β角和髋臼指数显著增大。同时超声能显示出X线片不能显示的结构如软骨、股骨头圆韧带和髋臼内其他软组织的情况。提示：超声检查操作简单，是非侵袭性检查方法，可重复应用作动态观察，诊断率高，可指导选择治疗方法。对发育性髋关节发育不良诊断和治疗有重要意义，可作为常规检查。
위학정초성검사재발육성관관절발육불량진단화치료중적개치，응용초성파대경과림상화X선검사진단위발육성관관절발육불량환인25례，28관진행검사，병선용정상관28측작대조。결과：병리조적a각화고골두복개솔현저감소，β각화관구지수현저증대。동시초성능현시출X선편불능현시적결구여연골、고골두원인대화관구내기타연조직적정황。제시：초성검사조작간단，시비침습성검사방법，가중복응용작동태관찰，진단솔고，가지도선택치료방법。대발육성관관절발육불량진단화치료유중요의의，가작위상규검사。
To define the role of ultrasonography in diagnosis and management, 28 hips of 25 patients with developmental dysplasia of hip (DDH) were examined by ultrasonography and compared with control group. The results showed that a angle and femural head percentage of cover (FHC) of DDH significantly decreased and β angle and AI of DDH significantly increased. Meanwhile, ultrasonography can show what radiography can't do, such as the structure of cartilage, ligment tire of fumel head and other soft tissues in acetabula. It indicates that ultrasonography is simple to operate, noninvasive to be repeated for dynamic observation. Its diagnosic ratio is higher and it can guide to choose the method for managment. It suggests that ultrasonography has an important role in diagnosis and management of DDH and can be a regular examination.