CAJ | 학술논문

目的观察婴儿发育性髋关节发育不良随生长发育的转归变化情况,对其自然病程进行初步了解与探讨.方法回顾性分析2010年6月至2012年8月在我科进行DDH筛查的1 472例年龄为0～6周新生儿,通过B型超声检查及结合临床体格检查对髋关节的发育情况进行了连续性观察.结果对1 472例2 944髋进行了B型超声检查,11例12髋为GrafⅡc型髋关节,4例4髋为GrafⅢ型髋关节,均为单侧,1例1髋为Ⅳ型髋关节,此16例髋关节即时接受了Pavlik挽具治疗.GrafⅡa型髋关节为173髋,在连续B型超声观察过程中85％自发稳定;1 331例Graf工型髋关节在观察过程中2例2髋发育不良,为GrafⅡb型髋关节,经治疗后获得较好结果.结论在生后6周内的GrafⅡa型髋关节在发育过程中呈“趋稳”状态,到第14周大部分可自发稳定.临床积极的随访观察对于早期预防髋关节发育不良的作用更为重要.
목적 관찰영인발육성관관절발육불량수생장발육적전귀변화정황,대기자연병정진행초보료해여탐토.방법 회고성분석2010년6월지2012년8월재아과진행DDH사사적1 472례년령위0～6주신생인,통과B형초성검사급결합림상체격검사대관관절적발육정황진행료련속성관찰.결과 대1 472례2 944관진행료B형초성검사,11례12관위GrafⅡc형관관절,4례4관위GrafⅢ형관관절,균위단측,1례1관위Ⅳ형관관절,차16례관관절즉시접수료Pavlik만구치료.GrafⅡa형관관절위173관,재련속B형초성관찰과정중85％자발은정;1 331례Graf공형관관절재관찰과정중2례2관발육불량,위GrafⅡb형관관절,경치료후획득교호결과.결론 재생후6주내적GrafⅡa형관관절재발육과정중정“추은”상태,도제14주대부분가자발은정.림상적겁적수방관찰대우조기예방관관절발육불량적작용경위중요.
Objective To explore the natural progress of developmental dysplasia of hip (DDH) by observing the transformation of infantile DDH with growth.Methods A total of 1,472 outpatient cases undergoing DDH screening from June 2010 to August 2012 were reviewed.And they were continually examined by ultrasonography and physical examination.Results All cases were examined by ultrasonography and physical examination.Eleven cases,12 hips were Graf Ⅱc; 4 cases,4 hips Graf Ⅲ; 1 case,1 hip Graf Ⅳ.All 16 cases wore Pavlik harness immediately.And 173 hips were of Graf Ⅱ a and 85 ％ acquired stabilization spontaneously during clinical observations.Two cases 2 hips among 1,331 cases with Graf Ⅰ hip developed into Graf Ⅱ dysplasia during observations.Conclusions Graf Ⅱ a hip in 6 weeks after birth has the potential of stabilizing with development.And most cases may become spontaneously stable within 14 weeks.And active follow-ups with ultrasound examination are important for preventing DDH.