不同年龄段婴儿髋关节超声检查的临床研究  

CLINICAL RESEARCH ON THE ULTRASONIC INSPECTION OF THE HIP JOINT OF INFANTS AT DIFFERENT STAGE OF DEVELOPMENT

作　　者：赵亮[1] 涂长玉 程建高[1] 王颖峰[1] 于医波[1] 

机构地区：[1]临沂市中医医院骨二科,山东临沂27600 [2]临沂市妇幼保健院超声科

出　　处：《山东医学高等专科学校学报》2012年第6期421-423,共3页Journal of Shandong Medical College

基　　金：临沂市科技发展计划项目(NO:201113054)

摘　　要：目的探讨不同年龄段婴儿髋关节超声图像特征,掌握新生儿髋关节的形态特征,为新生儿髋关节超声普查提供参考。方法分别对344例婴儿双侧髋关节均进行静态超声检查,共获得688张图像。运用Graf法对图像进行测量并记录结果,对测量结果进行统计处理。结果不同年龄组婴儿Ⅰ型髋关节图像特征差别不大。新生儿组中,α角的可信区间为(60.52±0.51)°,β角为(69.23±0.74)°。1月龄组中,α角的可信区间为(62.01±1.60)°,β角为(68.01±1.92)°。2月龄组中,α角的可信区间为(64.53±1.73)°,β角为(66.93±1.88)°。结论新生儿与婴儿发育正常的髋关节形态差别不大;我们可以依据髋关节的形态对新生儿髋关节发育状况进行评价,为新生儿普查提供有意义的参考。Objective To explore the features of ultrasonic image of infant hip, in order to provide a reference for ultrasonic mass survey of newborn hips. Methods The sonographic scannings were undertaken randomly from 688 hips. All pictures were measured by α-angle and β-angle with Graf＇s method, and the measuring resuhs were statistically analyzed. Results The image features of Type I was not much different in different groups. In the newborn group, the confidence interval of α-angle was（60.52±0.51）°, and that of β-angle was （69.23±0.74）°. In the one-month-old infant group, the confidence interval of α-angle was （62.01±1.60）°, and that of Q-angle was （68.01±1.92）°. In the two-month-old infant group, the confidence interval of α-angle was （64.53±1.73）°, and that of β-angle was （66.93±1.88）°. Conclusion According？ to the angles and the morphologic of the hip, we can evaluate the developm,.nt states of newborn hip, and offer significant references to ultrasonic general screen of newborn hip. No significant differences in the shapes of the normal hip joints between the newborns and infants were found. The evaluation of the physical development of newborn hip joints according to the shapes of the hip joints can offer valuable reference for the mass surveys of newborns.

关 键 词：髋关节 诊断 超声检查 新生儿 

分 类 号：R445.1[医药卫生—影像医学与核医学]