CAJ | 학술논문

目的：提高脑瘫儿髋关节异常X线片表现的认识。方法随机连续性抽取脑瘫儿骨盆正位片（双髋正位）200份，分析其X线表现。结果200例脑瘫儿骨盆正位片中，X线表现髋关节发育不良的46例（23%）；左髋关节半脱位7例（3.5%），右髋关节半脱位9例（4.5%），双髋关节半脱位15例（7.5%），脱位3例（1.5%）。痉挛型脑瘫儿153例（76.5%），髋关节半脱位31例（20.26%）、脱位3例（1.96%）。重度脑瘫儿57例（28.5%），髋关节半脱位20例（35.08%）、脱位3例（5.26%）。结论痉挛型脑瘫儿髋关节异常的发生率高，病情程度越重髋关节发生半脱位、脱位可能性越大。
목적：제고뇌탄인관관절이상X선편표현적인식。방법수궤련속성추취뇌탄인골분정위편（쌍관정위）200빈，분석기X선표현。결과200례뇌탄인골분정위편중，X선표현관관절발육불량적46례（23%）；좌관관절반탈위7례（3.5%），우관관절반탈위9례（4.5%），쌍관관절반탈위15례（7.5%），탈위3례（1.5%）。경련형뇌탄인153례（76.5%），관관절반탈위31례（20.26%）、탈위3례（1.96%）。중도뇌탄인57례（28.5%），관관절반탈위20례（35.08%）、탈위3례（5.26%）。결론경련형뇌탄인관관절이상적발생솔고，병정정도월중관관절발생반탈위、탈위가능성월대。
Objective To improve the cognition of the abnormal change of the X-ray in the cerebral palsy children complicated with hip joint dysfunction.Method Extract the pelvis anteroposterior film (double hip anteroposterior) of 200 children with cerebral palsy randomly and continuously,to analyze the X-ray findings.Results Among the pelvis anteroposterior film of the 200 children with cerebral palsy,46 cases are hip joint maldevelopment,account for 23%;7 cases are half dislocation of hip joint in left,account for 3.5%,9 cases are in the right,account for 4.5%,and 15 cases both sides,account for 7.5%,3 cases are total dislocation of hip joint,account for 1.5%.153(76.5%) spasm cerebral palsy cases,31 cases are half dislocation of hip joint,account for 20.26%,3 cases are total dislocation of hip joint,account for 5.26%.57(28.5%) severe degree cerebral palsy cases,the half dislocation and total dislocation of hip joint are individually 33(35.11%) cases and 4(4.26%) cases. Conclusion The incidence rate of hip joint dysfunction in spasm cerebral plasy is highest and the more severe in patient condition the higher in disable degree.