Perthes病对小儿髋关节后遗影响的定量观察  

The quantitative observation on the influence of Perthes disease on the sequelae of hip joint in children

作　　者：刘隽 李清萍 陈少卿 黄荧荧 陈伟[2] 何家维[2] Liu Jun

机构地区：[1]浙江省温州市中心医院,325000 [2]温州医科大学附属第二医院,325000

出　　处：《浙江临床医学》2020年第3期337-339,共3页Zhejiang Clinical Medical Journal

基　　金：浙江省医药卫生科研项目(2013KYB174)。

摘　　要：目的基于X线片的相关参数测量定量观察Perthes病对小儿髋关节的后遗影响.方法选择30例随访资料完整的单侧Perthes病患者的骨盆标准正位X线平片,进行相关参数测量,包括健侧和患侧的股骨头骨骺高度和宽度,髋臼深度及宽度,髋臼指数,臼头指数,突出指数.并对患者健、患侧的数据进行配对比较,同时按照患者病情轻重分为A组(Ⅰ和Ⅱ型)和B组(Ⅲ和Ⅳ型),对其患侧各参数进行组间比较.结果30例患者健侧股骨头骨骺高度和宽度,髋臼深度及宽度,髋臼指数分别为(16.04±3.54)mm和(43.41±6.16)mm,(17.07±2.80)mm和(55.55±6.45)mm,(9.60±2.88)°;患侧股骨头骨骺高度和宽度,髋臼深度及宽度,髋臼指数分别为(10.31±2.75)mm、(47.61±7.41)mm、(16.24±3.57)mm、(57.84±6.89)mm、(13.07±2.79)°,上述参数健侧与患侧比较差异均有统计学意义(P<0.05),患侧髋部头臼指数和突出指数分别为(0.78±0.06)、(0.24±0.09).患侧股骨骨骺指数、髋臼形态指数、髋臼指数、臼头指数、突出指数A组分别为(0.38±0.06)、(0.31±0.03)、(12.07±2.79)°、(0.88±1.33)、(0.21±0.07),B组分别(0.28±0.05)、(0.22±0.05)、(15.17±2.59)°、(0.67±2.31)、(0.28±0.09),上述各参数A和B两组比较差异均有统计学意义(P<0.05).结论Perthes病虽是自愈性疾病,但其对儿童髋关节后遗影响是长期存在的,其使股骨头变扁、髋臼变浅,头臼包容性变差,且随着病情加重,后遗影响愈明显.Objective The quantitative observation of the effects of Perthes disease on pediatric hip joints based on the measurement of relevant parameters of X-ray radiographs.Methods 30 patients with unilateral Perthes disease who performed standard orthotopic radiographs of pelvic and had complete clinical data were selected for the present study.The relevant parameters of hip joints,including the height and width of the proximal femoral epiphysis,the depth and width of the acetabulum,the acetabular index(AI),the acetabular head index(AHI),the epiphyseal extrusion index of the normal side and the affected side were measured,respectively.The paired comparison was used to compare the p?irametcrs of the normal side and the affected side.According to the severity of the patient's condition,they were divided into group A and group B,and two-sample t-test was performed on the parameters of the affected side.Results The height and width of the proximal femoral epiphysis,the depth and width of the acetabulum,the acetabular index of the normal side were 16.04±3.54inm,43.41±6.16mm,17.07±2.80mm,55.55±6.45mm and 9.60±2.88°,respectively.Those on the affected side were 10.31±2.75mm,47.61±7.41mm,16.24±3.57mm,and 57.84±6.89mm and 13.07±2.79o,respectively.And there were statistical differences on the both sides of the above parameters(P<0.05).The acetabular head index and the epiphyseal extrusion index of the affected side were 0.78±0.06,0.24±0.09.The femoral epiphysis index,the acetabular morphological index,the acetabular index,the acetabular head index and the epiphyseal extrusion index of the affected side in group A were 0.38±0.06,0_31±0.03,12.07±2.79°,0.88±1.33 and 0.21±0.07,respectively.In group B,they were 0.28±0.05,0.22±0.05,15.17±2.59°,0.67±2.31 and 0.28±0.09,respectively.And there were statistical differences in the two groups of the above parameters(P<0.05).Conclusion Although Perthes disease is a self-healing disease,its long-term effects on pediatric hip joints are persistent.It causes flattening of

关 键 词：PERTHES病 髋关节 测量 后遗 影响 

分 类 号：R72[医药卫生—儿科]