儿童脑瘫性髋关节疾病的发病机制与临床评价  

Pathogenesis and clinical evaluations of hip disease in children with cerebral palsy

作　　者：李宇 康列和 朱光辉(综述)[2] 赫荣国(审校) Li Yu;Kang Liehe;Zhu Guanghui;He Rongguo(Department of Orthopeadics,First Hospital of Loudi,Loudi 417000,China;Hunan Children's Hospital)

机构地区：[1]娄底市第一人民医院骨科,湖南省娄底市417000 [2]湖南省儿童医院骨科,湖南省长沙市410007

出　　处：《临床小儿外科杂志》2021年第10期980-984,共5页Journal of Clinical Pediatric Surgery

基　　金：2020年湖南儿科医联体项目基金“青少年痉挛型脑瘫肢体畸形的普查和治疗研究”;2021年湖南省卫生健康委资助性课题“脑瘫足肌腱转位后足底生物力学评价”(编号:202104071292)。

摘　　要：髋关节不稳定、髋关节半脱位和髋关节完全脱位,是脑性瘫痪儿童最多见的肢体畸形之一,其发病率高达35%。本文以系统复习新近的相关文献为基础,着重描述脑性瘫痪儿童股骨近端和髋臼发育异常的发生机制、自然病史演变过程以及引发髋关节移位的危险因素,详尽介绍髋关节移位的X线测量方法及诊断标准,目的是为矫形外科医师提供最新的理论知识和实用的评价技术。Hip displacement is one of most common deformities in children with cerebral palsy(CP),with an incidence rate of approximately 35%.This review described the pathophysiology,natural history of development hip dysplasia,and risk factors of hip subluxation and dislocation in children with CP through recent literature reviews.Meanwhile,radiographic measurement and diagnosis standard of hip displacement were also elaborated to provide latest theories and practical evaluation techniques of hip displacement for orthopedist.

关 键 词：脑性瘫痪/并发症 髋关节/病理学 髋关节/病理生理学 症状评估 诊断 

分 类 号：R681.8[医药卫生—骨科学] R726.847.5[医药卫生—外科学]