西藏地区发育性髋关节发育不良诊治现状  

Diagnosis and treatment of single-center developmental hip dysplasia in Tibet

作　　者：李忠霖 彭超[2] Li Zhong Lin;Peng Chao(Tibet University Medical College,Lhasa 850000 China;Department of Orthopedics,People's Hospital of Tibet Autonomous Region Lhasa 850000 China)

机构地区：[1]西藏大学医学院 [2]西藏自治区人民医院,西藏拉萨850000

出　　处：《西藏医药》2020年第6期27-29,共3页Tibetan Medicine

摘　　要：目的分析髋关节发育不良(Developmental Dysplasia Of The Hip,DDH)患者的临床特点及治疗效果。方法回顾2013年1月~2019年12月就诊于我院的发育性髋关节发育不良患者215例,减去失访或转院44例,本文就在本院接受治疗并完成随访171例总结。统计患者性别、年龄、患病部位、影像学表现、手术方式及术后恢复情况进行分析。结果本组患者中,男26例、女189例,男:女=1:7.27;DDH位于左侧69例、右侧41例、双侧105例;骨盆正位片Crowe分型:Ⅰ型57例、Ⅱ型80例、Ⅲ型45例、Ⅳ型33例;接受蛙式石膏治疗73例,箭式石膏62例,截骨术36例;治愈及好转122例。结论本院收治的DDH的发病女性多于男性,双侧最多,年龄越大治疗效果不佳;Ⅲ、Ⅳ型脱位疗效差。临床医生应根据患者具体情况选择合适的手术及治疗方式。Objective:To analyze the clinical characteristics and treatment effects of patients with Developmental Dysplasia Of The Hip(DDH)admitted to the People’s Hospital of Tibet Autonomous Region,and to prevent,screen and diagnose developmental dysplasia of the hip in this region And treatment provides a certain reference.Methods:Retrospectively summarized the data of 215 patients with developmental hip dysplasia who were admitted to the People’s Hospital of Tibet Autonomous Region from January 2013 to December 2019.Among them,30 were transferred to hospital,14 were lost to follow-up,received treatment in this hospital and completed follow-up 171 example.Statistics of patients’gender,age,diseased location,imaging findings,surgical methods and postoperative recovery were analyzed.Results:Among the patients in this group,there were 26 males and 189 females,all of whom were Tibetan children.Male:Female=1:7.27,the age distribution is mainly between 2 and 8 years old,accounting for 39%(84/215).DDH is located on the left side in 69 cases,right side 41 cases,and bilateral 105 cases.There were 56 cases in Xigaze,36 cases in Lhasa,46 cases in Nagqu,52 cases in Shannan,11 cases in Ali,9 cases in Qamdo,and 5 cases in Linzhi.Crowe classification of pelvic orthographic film:57 cases of typeⅠ,80 cases of typeⅡ,45 cases of typeⅢ,33 cases of typeⅣ;of the 171 patients who received treatment,73 cases were treated with frog plaster,62 cases with arrow plaster,and osteotomy 36 cases were operated on,122 cases were cured and improved.Conclusion There are more women with DDH in this hospital than men,with the most on both sides,followed by the left side and the least on the right side.Bilateral dislocation is less effective than unilateral dislocation;more than 18 months,the therapeutic effect is worse than within 18 months;type III and IV dislocation are less effective than types I and II.Clinicians:should choose appropriate surgery and treatment methods according to the specific conditions of the patient.

关 键 词：发育性髋关节发育不良 Crowe分型 石膏固定术 截骨术 

分 类 号：R726.8[医药卫生—儿科]