CAJ | 학술논문

脑性瘫痪简称脑瘫,是目前导致全世界儿童肢体残疾的主要疾病之一.其可合并有智力低下、癫痫、行为异常、视听觉障碍、情绪及口面功能障碍、体格发育落后、营养不良、肺通气功能障碍、免疫力低下等,此外还可出现继发性骨关节发育异常.近年来髋关节问题越来越引起临床医师的重视,脑瘫患儿髋关节半脱位、全脱位、髋关节疼痛等问题严重影响患儿的生活质量.早期发现髋关节发育问题并给予早期干预及治疗对减轻残疾程度、提高康复疗效有很大帮助,而针对后期髋关节疾病的外科手术及康复训练对于维持髋关节功能、提高生活质量有重要意义.其预后则受脑瘫及髋关节病变严重程度、治疗时机、个体差异、家长配合度等多因素影响.现就脑瘫儿童髋关节的临床表现、影像学改变、治疗等方面进行阐述.
뇌성탄탄간칭뇌탄,시목전도치전세계인동지체잔질적주요질병지일.기가합병유지력저하、전간、행위이상、시은각장애、정서급구면공능장애、체격발육락후、영양불량、폐통기공능장애、면역력저하등,차외환가출현계발성골관절발육이상.근년래관관절문제월래월인기림상의사적중시,뇌탄환인관관절반탈위、전탈위、관관절동통등문제엄중영향환인적생활질량.조기발현관관절발육문제병급여조기간예급치료대감경잔질정도、제고강복료효유흔대방조,이침대후기관관절질병적외과수술급강복훈련대우유지관관절공능、제고생활질량유중요의의.기예후칙수뇌탄급관관절병변엄중정도、치료시궤、개체차이、가장배합도등다인소영향.현취뇌탄인동관관절적림상표현、영상학개변、치료등방면진행천술.
Cerebral palsy (CP) is one of the most common causes of physical disability among children all over the world.It is often accompanied by hypophrenia,epilepsy,abnormal behaviors,visual auditory disorder,emotional disturbance,facial disfunction,developmental delay,malnutrition,poor lung function,hypoimmunity,and so on.Also hip abnormalities are important issues.The hip subdislocation,dislocation and pain largely influence the daily life of the patients.Early detection and therapy offer a great hand to ease the degree of disability and enhance rehabilitation effect.Surgical management and rehabilitation training have significant count on maintaining the hip function and improving daily life quality.The lesion severity,treatment timing,individual differences and cooperation degree of parents are main factors of prognosis.This contribution summarizes the symptoms,radiographic parameter changes and treatments of CP.