不典型症状的髋臼发育不良临床特征分析  

Analysis of the Clinical Characteristics in Acetabular Dysplasia Patients with Atypical Symptoms

作　　者：李超[1] 尚希福[1] 鹿亮[1] 

机构地区：[1]安徽医科大学附属省立医院骨二科,安徽合肥230001

出　　处：《实用骨科杂志》2014年第10期885-887,共3页Journal of Practical Orthopaedics

摘　　要：目的分析不典型症状的髋臼发育不良临床特征。方法对2013年1月至2014年5月在我院门诊就诊并行双髋正位X线片检查确诊的120例髋臼发育不良患者,分为典型症状组和不典型症状组。记录患者的一般情况、X线表现、临床症状和合并症等,进行统计学分析。结果在120例髋臼发育不良患者中,78例患者的症状不典型。两组女性均多于男性;50岁以上不典型症状发生率明显降低。两组年龄分布差异具有统计学意义(P<0.05);X线片表现上Crowe分型在两组间差异无统计学意义(P>0.05);两组合并平足症、足母外翻、膝内翻等疾病差异无统计学意义(P>0.05)。不典型症状患者中以腰痛症状为主的占20.5%,以同侧膝关节痛症状为主的占15.4%,无症状的占64.1%。结论不典型症状的髋臼发育不良临床上较为常见,单凭患者的症状鉴别困难,应提高对髋臼发育不良不典型症状的认识,重视疑似患者的双髋正位X线片检查,以提高髋臼发育不良患者的检出率。Objective To analyze the clinical characteristics of acetabular dysplasia（ AD） patients with atypical symptoms.Methods 120 AD patients,diagnosed through bilateral hip anteroposterior X-ray in our hospital clinic from January2013 to May 2014,were divided into typical group and atypical symptom group.Data on general conditions,X-ray findings,clinical symptoms and complications were investigated and statistically analyzed.Results Of the 120 AD patients,78 patients had no typical symptoms.There were more females in both groups and patients who were older than 50 years had a lower incidence rate of atypical symptom.There were statistically significant differences in terms of age distribution between two groups（ P〈0.05）.There were no statistically significant differences in terms of Crowe classification on X-ray findings and complications such as flatfoot,hallux valgus,genu varum between two groups（ P〉0.05）.Among atypical symptom group,lumbodynia symptom group accounted for 20.5%,ipsilateral knee pain symptom group 15.4%,and asymptomatic group 64.1%.Conclusion AD patients with atypical symptom are common in clinic,and it is difficult to distinguish them with patients＇ symptom alone.The understanding of the clinical characteristics of AD patients with atypical symptoms should be improved and more attention should be paid to bilateral hip anteroposterior X-ray examination of suspected patients in order to improve the detecting rate of AD.

关 键 词：不典型症状 髋臼发育不良 临床特征 

分 类 号：R682.6[医药卫生—骨科学]