Staheli's手术治疗儿童髋臼发育不良的长期疗效观察  

Long term results of Staheli's procedure in treatment of hip displasia in children

作　　者：王浩[1] 赫荣国[1] 顾章平[1] 

机构地区：[1]中国人民解放军总医院小儿外科,北京100853

出　　处：《中华小儿外科杂志》2000年第1期46-48,共3页Chinese Journal of Pediatric Surgery

摘　　要：目的　观察Ｓｔａｈｅｌｉ 手术治疗儿童髋臼发育不良的长期疗效。方法　采用ＭｃＫａｙ 髋关节临床和Ｗｉｌｌｅｔｔ Ｘ 线片评定标准，对术后３～７ 年的１５ 例（１６ 髋） 的疗效予以评价。结果　临床优１４例，１５ 髋；良１ 例。Ｘ 线片测量：髋臼指数术前为（３５．１３±５ ．５２）°，术后为（１１ ．８１ ±５ ．７１）°；ＣＥ角术前为（ － ０．１３ ±７ ．２１）°，术后为（４２．５０ ±４ ．５８）°；髋臼覆盖股骨头的百分比： 术前组为（４７．１８ ±１５ ．１２）％ ，术后组为（１０９ ．０４ ±１３．５７） ％ 。上述各项指标经两两配对ｔ 检验，Ｐ＜ ０．００１ 。结论　术式操作简便，对股骨头的覆盖非常充分、是治疗儿童特别是青少年髋臼发育不良的理想术式之一。Objective To evaluate the long term results of Staheli's procedure for acetabular dysplasia in children.Methods Fifteen patients (16 hips) who were followed up from 3 to 7 years were assessed clinically with McKay Criteria and radiologically with Willett assessment. Results Fourteen patients (15 hips) had excellent clinical results and one had good result. The acetabular index were 35.13 +/- 5.52 in the pre operative group and 11.81 +/- 5.71 in the post operative group. The CE angle was - 0.13 +/- 7.21 in the pre operative group and 42.50 +/- 4.58 in the post operative group. The percentage of acetabular cover was 47.18 +/- 15.12 in the pre operative group and 109.04 +/- 13.57 in the post operative group. Conclusion Staheli's procedure is a relatively simple and reliable operation for acetabular dysplasia, especially older children.

关 键 词：髋脱位 先天性脱位 外科手术 儿童 

分 类 号：R726.8[医药卫生—儿科]