B超技术在婴幼儿发育性髋关节发育不良筛查中的应用  

Application of ultrasound to screen the developmental dysplasia of hip in children

作　　者：王守桂[1] 何海燕[1] 张祥生[1] 仲英[1] 张黎 朱敏 WANG Shou Gui;HE Hai Yan;ZHANG Xiang Sheng;ZHONG Ying;ZHANG Li;ZHU Min(Department of Child Health, Wuhu Maternal and Child Health-Care Hospital, Wuhu, Anhui 241000, China)

机构地区：[1]安徽省芜湖市妇幼保健院,241000

出　　处：《中国妇幼卫生杂志》2018年第2期63-65,78,共4页Chinese Journal of Women and Children Health

基　　金：安徽省芜湖市科技局科技计划项目(2015hm03)

摘　　要：目的采用B超技术筛查儿童发育性髋关节发育,评价临床筛查效果。方法对新生儿、42天、3月及≤6月婴幼儿通过一般外观检查进行初筛,再采用特殊检查、超声检查(Graf方法)复筛和诊断发育性髋关节发育不良(DDH),评价临床筛检效果。结果 2015年1月-2017年4月,初筛阳性进行B超检查1222人,年龄在0~6个月,其中男606例、女616例。髋关节正常(I型、IIA型)1174例,DDH患儿48例,其中男21例、女27例;其中IIB型45例、IIC型3例。左右髋关节人数和所占比例:IIB左右髋关节位点各26个,占比均为50%,IIC型左右髋关节位点分别为2个和1个,占比为66.67%和33.33%。结论髋关节超声检查技术(Graf法)在早期筛查婴幼儿DDH中具有重要临床价值,方法简单安全、经济有效。Objective To screen the developmental dysplasia of hip（ DDH） among children with ultrasound and evaluate the clinical screening effect. Methods Newborns,42 days,3 months,and ≤ 6 months infants were screened by general visual examination. Special screening,ultrasound（ Graf method） were used to screen and diagnose DDH. The clinical screening effects were evaluated. Results From January 2015 to April 2017,1222 patients were screened from 0 to 6 months,including 606 boys and 616 girls. There were 1174 cases of normal hip（ type I and IIA） and 48 cases of children with DDH,including 21 boys and 27 girls.Among them,45 cases were type IIB and 3 cases were type IIC. The type IIB of hip joint sites were 26 in left and 26 in right,accounting for 50% and 50%,respectively. The type IIC of hip joint sites were 2 in left and 1 in right,accounting for 66. 67% and 33. 33%,respectively. Conclusion It plays an important role for ultrasound technique（ Graf method） in early screening of DDH in children. This method is simple,safe and economically effective.

关 键 词：B超 发育性髋关节发育不良 筛查 儿童 

分 类 号：R726.8[医药卫生—儿科]