CAJ | 학술논문

为了探讨臀肌挛缩对小儿身体发育的影响.对14例不对称臀肌挛缩和24例8～9岁对称性臀肌挛缩患儿进行体检及骨盆和髋关节X线测量.不对称性臀肌挛缩组行自身对照研究(t检验),对称性臀肌挛缩患儿按病程及病情分为4组,按析因试验的设计行方差分析.发现14例不对称性臀肌挛缩患儿臀肌挛缩对股骨颈干角、股骨头骺商及髋臼商无影响(P＞0.2),而髂骨的高宽比值和双侧髋臼指数变小(P＜0.05),24名对称性臀肌挛缩患儿检查显示,病程及病情均为影响因素(P＜0.05),但二者间无交互作用(P＜0.8).此外,臀肌挛缩对脊柱等结构发育尚有影响臀肌挛缩可影响小儿身体发育,尤其是髂骨及髋臼的发育,病情越重或病程越长影响越明显.
위료탐토둔기련축대소인신체발육적영향.대14례불대칭둔기련축화24례8～9세대칭성둔기련축환인진행체검급골분화관관절X선측량.불대칭성둔기련축조행자신대조연구(t검험),대칭성둔기련축환인안병정급병정분위4조,안석인시험적설계행방차분석.발현14례불대칭성둔기련축환인둔기련축대고골경간각、고골두후상급관구상무영향(P＞0.2),이가골적고관비치화쌍측관구지수변소(P＜0.05),24명대칭성둔기련축환인검사현시,병정급병정균위영향인소(P＜0.05),단이자간무교호작용(P＜0.8).차외,둔기련축대척주등결구발육상유영향둔기련축가영향소인신체발육,우기시가골급관구적발육,병정월중혹병정월장영향월명현.
A survey of physical examination,pelvic and hip joint x-ray films of forteen cases of unilateral and 24 of bilateral gluteal contracture was made.For the Unilateral contracture group,t-test to self-control design was selected.According to the extent and duration the bilateral contracture group was divided into 4 subgroups.An analysis of variance of factorial design was selected.The evaluation of unilateral group showed that the acetabular quotient,epiphyseal quotient of femoral head,and the neck-shaft angle were not affected (P＞0.2),but the height-width ratio of the ilium and acetabular index reduced (P＜0.05).Both the extent and duration of the contracture were affecting factors (P＜0.05) in the bilateral group.Forthermore,other structures such as the spines were also affected.It is concluded that gtuteal contracture is harmful to the physique and development of acetabular and ilium.The more extensive the contracture or the longer the duration,the worse the effects will be.