CAJ | 학술논문

目的分析1～36月龄儿童发育性髋关节脱位(DDH)筛查情况.方法回顾性总结2011年9月至2013年5月郑州大学第一附属医院DDH筛查情况.本院出生的新生儿由产科医师进行DDH的初步筛查,小儿内科门诊或住院及小儿外科门诊的1～36月龄患儿分别由儿内科和小儿外科医师进行初步筛查,可疑或异常者转诊至小儿骨科再次进行临床检查(双髋关节功能检查、外展试验、Ortolani或Barlow试验等),并行双髋关节B超或者X线片进一步检查,可疑者定期复查直至确诊或排除.结果 DDH筛查儿童共10 428名,1 260名婴儿实施髋关节B超检查,B超检查可疑和异常346名(445髋)转诊到小儿骨科.可疑患儿中33名(49髋)Ortolani或Barlow试验阳性,61名(88髋)骨盆正位X线片显示髋臼发育不良,最终有48例(69髋)确诊为DDH.其中男14例、女34例;左髋52例、右髋17例;本筛查DDH的发病率是0.46％.结论 6月龄内儿童DDH筛查B超检查简单经济,6月龄以上儿童DDH筛查细致的体格检查与影像学检查相结合是有效的手段.
목적 분석1～36월령인동발육성관관절탈위(DDH)사사정황.방법 회고성총결2011년9월지2013년5월정주대학제일부속의원DDH사사정황.본원출생적신생인유산과의사진행DDH적초보사사,소인내과문진혹주원급소인외과문진적1～36월령환인분별유인내과화소인외과의사진행초보사사,가의혹이상자전진지소인골과재차진행림상검사(쌍관관절공능검사、외전시험、Ortolani혹Barlow시험등),병행쌍관관절B초혹자X선편진일보검사,가의자정기복사직지학진혹배제.결과 DDH사사인동공10 428명,1 260명영인실시관관절B초검사,B초검사가의화이상346명(445관)전진도소인골과.가의환인중33명(49관)Ortolani혹Barlow시험양성,61명(88관)골분정위X선편현시관구발육불량,최종유48례(69관)학진위DDH.기중남14례、녀34례;좌관52례、우관17례;본사사DDH적발병솔시0.46％.결론 6월령내인동DDH사사B초검사간단경제,6월령이상인동DDH사사세치적체격검사여영상학검사상결합시유효적수단.
Objective To summarize retrospectively developmental dysplasia of the hip (DDH) screening of children within 36 months.Methods Newborn infants underwent initial DDH screening at First Affiliated Hospital,Zhengzhou University from September 2011 to May 2013.The examinations included double hip function,abduction test and Ortolani/Barlow test.After initial DDH screening,suspected and abnormal infants were transferred to our department for re-screening.And clinical physical examinations,type B ultrasound or radiological imaging were performed for confirmation or elimination.Results A total of 10 428 children were DDH screened.And 1 260 children were examined with ultrasound and 346 suspected and abnormal children (445 hips) were transferred for further assessments.Among them,33 children (49 hips) were positive with Ortolani or Barlow test,61 children (88 hips) had dysplasia of hip and 48 children (14 boys,34 girls) (69 hips) received a final diagnosis of DDH.Left (n =52) and right hip (n =17) were involved with a disease incidence of DDH at 0.46％.Conclusions Ultrasonic examination is both simple and cost-effective for DDH screening of children within 6 months.And meticulous medical examinations and imaging studies are effective DDH screening for children from 6 to 36 months.