超声在婴幼儿发育性髋关节异常早期筛查中的应用研究  

The application reserch of ultrasonography for screening of developmental dysplasia of the hip in infants

作　　者：李芹[1] 李凤华[1] 孙涟漪[2] 闫冰[2] 隗帆 史晓婧[2] 

机构地区：[1]上海交通大学医学院附属仁济医院超声医学科,200127 [2]上海市嘉定区妇幼保健院影像科,201822

出　　处：《重庆医学》2013年第35期4236-4238,共3页Chongqing medicine

基　　金：上海市卫生局青年基金项目(2010Y025)

摘　　要：目的探讨超声格拉夫（Graf）法在婴幼儿发育性髋关节异常（DDH）早期筛查中的应用价值。方法对1 580例无严重肢体畸形的0~6个月龄婴幼儿（包括3 160个髋关节）,其中,依据超声Graf法行双侧髋关节检查,并进行分析。结果 1 580例婴幼儿,男827例（52.34%）,女753例（47.66%）,超声诊断为异常髋关节104例（6.58%）,其中Ⅱa型髋关节88例（5.57%）,Ⅱb型髋关节9例（0.57%）,Ⅱc型髋关节5例（0.32%）,Ⅲ型髋关节1例（0.06%））,Ⅳ型髋关节1例（0.06%）。各月龄异常髋关节检出值分别为：1月龄79例（9.69%）,2月龄13例（3.98%）,3月龄2例（2.15%）,4月龄6例（2.26%）,5月龄1例（2.44%）,6月龄3例（7.69%）。结论超声Graf法有助于为该地区DDH发病率提供基本数据,为开展婴幼儿髋关节早期超声筛查提供相关标准。Objective To evaluate the value of ultrasonic Graf methods in screening developmental dysplasia of the hip（DDH）in infants.Methods 1 580cases of 0-6monthes old infants without severe limb anomalies were examined.Bilateral hip joints were examined mcluded analyzed according to Graf method.Results A total of 1 580cases included 3 160hip joints were analyzed,827 were male（52.34%）and 753were female（52.34%）among them.104cases（6.58%）were diagnosed with abnormalities of the hip joints.Among the 104cases,88cases（5.57%）were typeⅡa hip joints,9cases（0.57%）were typeⅡb,5cases（0.32%） were typeⅡc,1case（0.06%）and 1case（0.06%）were typeⅢ and typeⅣrespectively.In each month of age abnormalities of the hip joints were diagnosed as followed：79cases（9.69%）were one month old,13cases（3.98%）were two month old,2cases（2.15%）were three month old,6cases（2.26%）were four month old,1cases（2.44%）was five month old and 3cases（7.69%） were six month old.Conclusion Ultrasonic Graf method can provide the basic data for incidence of developmental dysplasia of hip in infants in local region and may be helpful to offer the related standards for early screening the abnormalities of the hip joints.

关 键 词：超声检查 儿童发育 骨关节炎 髋 早期诊断 

分 类 号：R726.8[医药卫生—儿科]