中华小儿外科杂志
中華小兒外科雜誌
중화소인외과잡지
CHINESE JOURNAL OF PEDIATRIC SURGERY
2010年
8期
597-599
,共3页
婴儿%髋脱位%髋臼
嬰兒%髖脫位%髖臼
영인%관탈위%관구
Infant%Hip dislocation%Acetabulum
目的 探讨髋关节三线测量在婴儿发育性髋关节脱位早期诊断中的价值.方法 应用传统的体检方法,对180例疑诊者,摄双髋正位X线片,除众所周知的Shenton氏线、CE角等指标外,以股骨干骺端中点为起点,分别至髋臼外上缘、下缘、中心做连线,然后对此三线进行测量比较.结果 本组180例,单侧髋关节脱位122例(122髋),两侧髋脱位58例(116髋),总计238髋.通过髋关节三线测量,238髋此三线均不等长,确诊为DDH.对122例单侧髋脱位者的正常侧测量,120髋(98.3%)显示三线等长.同时对闭合复位欠佳者,此关节三线显示也不等长.结论 髋关节三线的定位都是骨性标志,清晰可鉴,定位准确,操作简单.髋关节三线测量,是婴儿时期诊断DDH一种比较准确的方法,特别在股骨头骨骺未出现前的小婴儿,更具有一定的特异性,是诊断DDH的可靠依据.另外对治疗中的婴儿,髋关节三线测量也是确定髋关节是否达到同心圆复位的一种有价值的参考指标.
目的 探討髖關節三線測量在嬰兒髮育性髖關節脫位早期診斷中的價值.方法 應用傳統的體檢方法,對180例疑診者,攝雙髖正位X線片,除衆所週知的Shenton氏線、CE角等指標外,以股骨榦骺耑中點為起點,分彆至髖臼外上緣、下緣、中心做連線,然後對此三線進行測量比較.結果 本組180例,單側髖關節脫位122例(122髖),兩側髖脫位58例(116髖),總計238髖.通過髖關節三線測量,238髖此三線均不等長,確診為DDH.對122例單側髖脫位者的正常側測量,120髖(98.3%)顯示三線等長.同時對閉閤複位欠佳者,此關節三線顯示也不等長.結論 髖關節三線的定位都是骨性標誌,清晰可鑒,定位準確,操作簡單.髖關節三線測量,是嬰兒時期診斷DDH一種比較準確的方法,特彆在股骨頭骨骺未齣現前的小嬰兒,更具有一定的特異性,是診斷DDH的可靠依據.另外對治療中的嬰兒,髖關節三線測量也是確定髖關節是否達到同心圓複位的一種有價值的參攷指標.
목적 탐토관관절삼선측량재영인발육성관관절탈위조기진단중적개치.방법 응용전통적체검방법,대180례의진자,섭쌍관정위X선편,제음소주지적Shenton씨선、CE각등지표외,이고골간후단중점위기점,분별지관구외상연、하연、중심주련선,연후대차삼선진행측량비교.결과 본조180례,단측관관절탈위122례(122관),량측관탈위58례(116관),총계238관.통과관관절삼선측량,238관차삼선균불등장,학진위DDH.대122례단측관탈위자적정상측측량,120관(98.3%)현시삼선등장.동시대폐합복위흠가자,차관절삼선현시야불등장.결론 관관절삼선적정위도시골성표지,청석가감,정위준학,조작간단.관관절삼선측량,시영인시기진단DDH일충비교준학적방법,특별재고골두골후미출현전적소영인,경구유일정적특이성,시진단DDH적가고의거.령외대치료중적영인,관관절삼선측량야시학정관관절시부체도동심원복위적일충유개치적삼고지표.
Objective To evaluate three hip lines measurement in diagnosis of developmental dislocation of the hip (DDH) in infants. Methods One hundred and eighty infants with suspected diagnosis were studied. In addition to routine physical examination, X-ray of both hips were taken and the Shenton's lines and CE angels were measured. Three hip lines were measured from the midpoint of the femoral metaphysis to upper margin, lower margin and center of the acetabulum respectively. Results Of the 180 infants, there were 122 unilateral( 122 hips)and 58 bilateral developmental dislocations of hip( 116 hips). The three hip lines were measured in all the 238 hips and the DDH was diagnosed. The three lines of the normal lateral hips in the 122 unilateral cases were also measured and the equal length was found in 120 normal hips (98.3%). Furthermore, the length of the three lines of the unsuccessful closed reduction of hips was different. Conclusions Measurement of the three hip lines provides an accurate diagnosis for DDH in infants. This is useful in infants whose osteoepiphysis of femoral head were not formed. For those who undergo treatment, measurement of the three hip lines is useful for assessment of the progress.
