重庆医学
重慶醫學
중경의학
CHONGQING MEDICAL JOURNAL
2013年
35期
4236-4238
,共3页
李芹%李凤华%孙涟漪%闫冰%隗帆%史晓婧
李芹%李鳳華%孫漣漪%閆冰%隗帆%史曉婧
리근%리봉화%손련의%염빙%외범%사효청
超声检查%儿童发育%骨关节炎 ,髋%早期诊断
超聲檢查%兒童髮育%骨關節炎 ,髖%早期診斷
초성검사%인동발육%골관절염 ,관%조기진단
ultrasonography%child development%osteoarthritis,hip%early diagnosis
目的:探讨超声格拉夫(Graf)法在婴幼儿发育性髋关节异常(DDH)早期筛查中的应用价值。方法对1580例无严重肢体畸形的0~6个月龄婴幼儿(包括3160个髋关节),其中,依据超声Graf法行双侧髋关节检查,并进行分析。结果1580例婴幼儿,男827例(52.34%),女753例(47.66%),超声诊断为异常髋关节104例(6.58%),其中Ⅱa型髋关节88例(5.57%),Ⅱb型髋关节9例(0.57%),Ⅱc型髋关节5例(0.32%),Ⅲ型髋关节1例(0.06%)),Ⅳ型髋关节1例(0.06%)。各月龄异常髋关节检出值分别为:1月龄79例(9.69%),2月龄13例(3.98%),3月龄2例(2.15%),4月龄6例(2.26%),5月龄1例(2.44%),6月龄3例(7.69%)。结论超声Graf法有助于为该地区DDH发病率提供基本数据,为开展婴幼儿髋关节早期超声筛查提供相关标准。
目的:探討超聲格拉伕(Graf)法在嬰幼兒髮育性髖關節異常(DDH)早期篩查中的應用價值。方法對1580例無嚴重肢體畸形的0~6箇月齡嬰幼兒(包括3160箇髖關節),其中,依據超聲Graf法行雙側髖關節檢查,併進行分析。結果1580例嬰幼兒,男827例(52.34%),女753例(47.66%),超聲診斷為異常髖關節104例(6.58%),其中Ⅱa型髖關節88例(5.57%),Ⅱb型髖關節9例(0.57%),Ⅱc型髖關節5例(0.32%),Ⅲ型髖關節1例(0.06%)),Ⅳ型髖關節1例(0.06%)。各月齡異常髖關節檢齣值分彆為:1月齡79例(9.69%),2月齡13例(3.98%),3月齡2例(2.15%),4月齡6例(2.26%),5月齡1例(2.44%),6月齡3例(7.69%)。結論超聲Graf法有助于為該地區DDH髮病率提供基本數據,為開展嬰幼兒髖關節早期超聲篩查提供相關標準。
목적:탐토초성격랍부(Graf)법재영유인발육성관관절이상(DDH)조기사사중적응용개치。방법대1580례무엄중지체기형적0~6개월령영유인(포괄3160개관관절),기중,의거초성Graf법행쌍측관관절검사,병진행분석。결과1580례영유인,남827례(52.34%),녀753례(47.66%),초성진단위이상관관절104례(6.58%),기중Ⅱa형관관절88례(5.57%),Ⅱb형관관절9례(0.57%),Ⅱc형관관절5례(0.32%),Ⅲ형관관절1례(0.06%)),Ⅳ형관관절1례(0.06%)。각월령이상관관절검출치분별위:1월령79례(9.69%),2월령13례(3.98%),3월령2례(2.15%),4월령6례(2.26%),5월령1례(2.44%),6월령3례(7.69%)。결론초성Graf법유조우위해지구DDH발병솔제공기본수거,위개전영유인관관절조기초성사사제공상관표준。
Objective To evaluate the value of ultrasonic Graf methods in screening developmental dysplasia of the hip (DDH)in infants .Methods 1 580 cases of 0-6 monthes old infants without severe limb anomalies were examined .Bilateral hip joints were examined mcluded analyzed according to Graf method .Results A total of 1 580 cases included 3 160 hip joints were analyzed ,827 were male (52 .34% ) and 753 were female (52 .34% ) among them .104 cases (6 .58% ) were diagnosed with abnormalities of the hip joints .Among the 104 cases ,88 cases (5 .57% ) were type Ⅱa hip joints ,9 cases (0 .57% ) were type Ⅱ b ,5 cases (0 .32% ) were type Ⅱc ,1 case (0 .06% ) and 1 case (0 .06% ) were type Ⅲ and type Ⅳ respectively .In each month of age abnormalities of the hip joints were diagnosed as followed :79 cases(9 .69% ) were one month old ,13 cases (3 .98% ) were two month old ,2 cases (2 .15% ) were three month old ,6 cases (2 .26% ) were four month old ,1 cases (2 .44% ) was five month old and 3 cases (7 .69% ) were six month old .Conclusion Ultrasonic Graf method can provide the basic data for incidence of developmental dysplasia of hip in infants in local region and may be helpful to offer the related standards for early screening the abnormalities of the hip joints .