儿童臀肌挛缩症的骨关节X线变化  

X-ray changes of pelvis and hip joint in children with gluteus contracture

作　　者：韩镜明[1] 代品华[1] 李达泉[1] 张平[1] 张文[1] 

机构地区：[1]武汉市儿童医院,430016

出　　处：《中华小儿外科杂志》1997年第2期111-112,共2页Chinese Journal of Pediatric Surgery

摘　　要：目的:探讨臀肌挛缩症致骨盆、髋关节方面变化,阐明手术时机和效果。方法:比较38例臀肌挛缩症与30例非臀肌挛缩症骨盆、髋关节平片,38例臀肌挛缩症中,20例术后6～7年随访。结果:臀肌挛缩症患儿的 CE 角增大(X=36.32°,P<0.01),颈干角增大(X=153°,P<0.01),股骨头指数下降(X=0.44,P<0.01)。20例臀肌挛缩症术后6～7年随访,CE 角(X=35°)颈干角(X=134.95°)肌骨头指数(X=0.489)均恢复同龄组正常均值内。结论:臀肌挛缩症可引起骨盆、髋关节继发性改变,手术有助于髋关节形态和功能恢复。Objective:To discuss the changes of the pelvis and hip joints,timing and effect of operation in children with gluteus contracture.Methods:The X-ray films of pelvis and hips of 38 cases of gluteus contracture were compared with those of 30 normal children.Results:In the con- tracture group,the CE angle of Wiberg(X=36.32°,P<0.01)and the neck-shaft angle of the fe- mur(X=153°,P<0.01)increased,but the femeral head index decreased(X=0.44,P<0.01). Twenty of the 38 cases with gluteus contracture were followed-up for 6-7yrs.of them,the CE an- gle(X=35°),neck shaft angle(X=134.95)and femeral head index have returned to normal range.Conclusions:Gluteus contracture may result in secondary changes of the pelvis and hip. An opertion is helpful to the recovery of shape and function of the hip joint.

关 键 词：臀肌挛缩症 骨盆 髋关节 X线 外科手术 儿童 

分 类 号：R726.85[医药卫生—儿科] R816.8[医药卫生—临床医学]