儿童创伤性髋关节脱位26例疗效分析  

Treatment of traumatic hip dislocation in children-A report of 26 cases

作　　者：沈品泉[1] 徐卫东[2] 赵黎[3] 

机构地区：[1]上海第二军医大学,上海市200433 [2]上海第二军医大学附属长海医院骨科,上海市200433 [3]上海交通大学医学院附属新华医院儿骨科,上海 市200092

出　　处：《临床小儿外科杂志》2015年第5期391-394,共4页Journal of Clinical Pediatric Surgery

基　　金：上海市卫生局公共卫生体系建设三年行动计划2011-2013（项目编号（GWiii-272）

摘　　要：目的：回顾性分析儿童创伤性髋关节脱位的治疗情况，探讨其治疗策略。方法收集26例创伤性髋关节脱位患儿临床资料，采用手法复位或切开复位治疗，对治疗结果进行 Harris 髋关节评分，根据治疗方法和年龄大小分组评估疗效。结果得到随访的22例患儿中，12例于急诊室早期复位成功，均为低能量创伤；入院治疗10例中，5例在麻醉下行髋关节闭合复位获成功，5例行髋关节切开复位。急诊室早期复位和入院复位治疗两组病例2年后髋关节评分分别为98．5和87．8，＞8岁与＜8岁两组病例2年后髋关节评分分别为86．6和99．1。急诊室早期复位和＜8岁病例的治疗效果优于入院治疗和年龄＞8岁组。结论儿童创伤性髋关节脱位治疗要早，需尽早进行关节复位，必要时行切开复位治疗，低年龄、低能量损伤的儿童具有更好的治疗结果。Objetive To analyze retrospectively a series of traumatic hip dislocations in children,de-scribing the therapeutic strategy. Methods Consecutively collect 26 children with traumatic hip dislocation who underwent close reduction or open reduction.The patients were grouped according to different treatments and different age,and the results were assessed according to Harris hip scores.Results The dislocation of 12 patients who underwent closed reduction in the emergency department was caused by low-energy trauma.In 10 inpatients,5 patients underwent close reduction and the other 5 patients underwent open reduction.After at least 2 years follow-up,the hip scores of emergency department patients and inpatients were 98.5 and 87.8 re-spectively.The hip scores of patients elder than 8 years and younger than 8 years were 86.6 and 99.1 respec-tively.Conclusions Urgent close reduction of acute cases must be done in the traumatic hip dislocation in children,sometimes open reduction must be done.The hips had more excellent functional outcome in young age group with low-energy trauma.

关 键 词：髋关节 创伤和损伤 脱位 儿童 

分 类 号：R726.847[医药卫生—儿科]