CAJ | 학술논문

目的总结Salter骨盆截骨术治疗儿童发育性髋关节脱位的应用。方法2008年8月~2012年8月，我科对6例8髋发育性髋关节脱位，常规行患肢骨牵引2w，采用Salter骨盆截骨术垣关节囊清理紧缩缝合术，加做股骨转子下短缩旋转截骨术8髋。结果随访6个月～4年，平均随访24个月，临床随访采用Mckay髋关节功能评定标准和X线随访采用Severin标准。按Mckay标准评定髋关节功能，术后优良率达97%；按Severin标准评定X线表现，术后优良率达95.15%。结论Salter骨盆截骨术为早期手术治疗儿童发育性髋关节脱位的首选术式，早诊断、早治疗，临床疗效满意。
목적총결Salter골분절골술치료인동발육성관관절탈위적응용。방법2008년8월~2012년8월，아과대6례8관발육성관관절탈위，상규행환지골견인2w，채용Salter골분절골술원관절낭청리긴축봉합술，가주고골전자하단축선전절골술8관。결과수방6개월～4년，평균수방24개월，림상수방채용Mckay관관절공능평정표준화X선수방채용Severin표준。안Mckay표준평정관관절공능，술후우량솔체97%；안Severin표준평정X선표현，술후우량솔체95.15%。결론Salter골분절골술위조기수술치료인동발육성관관절탈위적수선술식，조진단、조치료，림상료효만의。
Objective To summarize the application of Salter pelvic osteotomy for the treatment of developmental dislocation of the hip in children. Methods 2008 August to 2012 August, 6 hips in 8 patients in our department of developmental dislocation of the hip, underwent limb skeletal traction for 2 weeks, the Salter pelvic osteotomy and joint capsule cleaning tightening suture, combined with subtrochanteric osteotomy in 8 hips. Results Fol owed up for 6 months to 4 years, mean fol ow-up of 24 months, clinical fol ow-up by Mckay criteria for hip joint function and X-ray were performed according to the Severin standard. According to Mckay criteria of hip joint function after operation, the excellent and good rate was 97%; performance according to Severin standard X-ray after operation, the excellent and good rate was 95.15%. Conclusion Salter pelvic osteotomy is the preferred surgical dislocation of the hip operation in treatment of early child development, early diagnosis and early treatment, the clinical ef ect is satisfactory.