儿童髋关节暂时性滑膜炎临床流行病学分析  

Clinical Epidemiologic Studies on Children with Transient Synovitis of Hip

作　　者：孙客[1] 唐盛平[1] 于薇[2] 刘宝萍[1] 韩镜明[1] 覃均昌[1] 

机构地区：[1]深圳市儿童医院骨科,广东深圳518026 [2]深圳市儿童医院超声科,广东深圳518026

出　　处：《实用儿科临床杂志》2007年第3期230-230,232,共2页Journal of Applied Clinical Pediatrics

摘　　要：目的探讨深圳地区儿童髋关节暂时性滑膜炎的临床流行病学特征。方法采用回顾性调查方法,制作调查表对本院收治705例儿童髋关节暂时性滑膜炎患儿病因、临床表现、治疗及预后等进行临床流行病学调查,并分析结果。结果以四季散发为特征;好发于3-7岁男童,男女比例约为2.91;发病前1周有上呼吸道感染病史、剧烈活动或外伤史患儿分别占19.3%和11.9%;以痛性跛行、髋关节活动障碍为其临床特点;经卧床牵引1-2周治愈;约6.95%患儿复发。结论儿童髋关节暂时性滑膜炎好发于男童,呈四季散发,与上呼吸道感染、剧烈活动或外伤密切相关,此病可复发,经卧床牵引治疗后预后均良好。Objective To investigate the clinical epidemiologic features of transient synovitis（TS） of hip in children occurred in Shen-zhen district.Methods The medical files were reviewed and a standard questionnaire was filled according to the conditions of 705 cases such as pathogeny,clinical manifestation,therapy and prognosis.Results Transient synovitis occurred in a sporadic form all the year round.The peak age of patients with TS was 3-7 years old.The ratio of boys to girls was 2.9：1.About 19.3% patients were attacked an upper respiratory tract infection and 11.9% patients attributed the symptoms to trauma or severe activities before 1 week.A varying degree of painful limp and restriction of movement at the hip were found clinically.All of cases were cured by skin traction.The incidence of recurrence was 6.95%.Conclusions Male predominance is found in TS.It is characteristic of sporadic form in the 4 seasons and intently relation to an upper respiratory tract infection and trauma or severe activities.TS is recurrent and the prognosis is good by skin traction.

关 键 词：儿童 滑膜炎 髋关节 暂时性 临床流行病学 

分 类 号：R726.8[医药卫生—儿科]