Graf法在不同月龄异常体征合并发育性髋关节发育不良高危婴儿超声诊断中的价值  

Value of high frequency ultrasound combined with molybdenum target X-ray in the diagnosis of different stages and types of breast cancer

作　　者：邹密密 何志容[1] 郭廷华[1] 彭亚琼[1] 何志容[1] 殷军[1] 邹好楠 ZOU Mimi;HE Zhirong;GUO Tinghua;PENG Yaqiong;HE Zhirong;YIN Jun;ZOU Haonan(Department of Ultrasound,Chongqing Fuling Central Hospital,Chongqing 408099,China)

机构地区：[1]重庆市涪陵中心医院超声科,重庆408099

出　　处：《中国优生与遗传杂志》2021年第5期711-715,共5页Chinese Journal of Birth Health & Heredity

摘　　要：目的分析Graf法在不同月龄异常体征合并发育性髋关节发育不良(DDH)高危婴儿超声诊断中的价值。方法选取重庆市涪陵中心医院2017年6月—2020年6月收治的有异常体征表现、疑似发育性髋关节发育不良患儿400例为研究对象,依据患儿年龄将122例月龄为16 d~2个月的患儿设为A组,136例月龄2~4个月的患儿设为B组;142例月龄为4~6个月的患儿设为C组,对其进行超声Graf法检查。结果女性发病率明显高于男性,差异具有统计学意义(P<0.05);左侧关节病变发病率明显高于右侧关节病变,差异具有统计学意义(P<0.05);400例患儿中Graf法不同分型发病率为Ⅰ型(81.50%)、ⅡA型(5.50%)、ⅡB型(3.75%)、ⅡC型(3.25%)、D型(3.00%)、Ⅲ型(2.00%)、Ⅳ型(1.00%)。A组D型、Ⅲ型、Ⅳ型患病率最高;B组ⅡB型、ⅡC型患病率最高;C组中Ⅰ型、ⅡA型患病率最高三组间不同类型的患病率差异具有统计学意义(P<0.05);A组左右两侧α角明显低于B组和C组,差异具有统计学意义(P<0.05);β角则明显高于B组和C组,差异具有统计学意义(P<0.05)。结论超声Graf法在不同月龄异常体征合并DDH中具有较高的临床诊断价值,不仅可诊断出DDH,亦可了解疾病进展程度,是一种良好的早筛手段。Objective To analyze the value of Graf method in ultrasonic diagnosis of high risk infants with abnormal signs and developmental dysplasia of the hip.Methods Four hundred children with suspected developmental hip dysplasia who were admitted to our hospital from June 2017 to June 2020 were selected and examined by ultrasound Graf method.Results The incidence of female was significantly higher than that of male,the difference was statistically significant(P<0.05);the incidence of left-hand joint disease was significantly higher than that of right-hand joint disease,the difference was statistically significant(P<0.05);the incidence of different types of Graf in 400 children was type Ⅰ(81.50%),type ⅡA(5.50%),type ⅡB(3.75%),type ⅡC(3.25%),type D(3.00%),type Ⅲ(2.00%) and type Ⅳ(1.00%).In group A,the prevalence of type D,type Ⅲ and type Ⅳ was the highest;in group B,the prevalence of type ⅡB and type ⅡC was the highest;in group C,the prevalence of type Ⅰ and type ⅡA was the highest,and the differences among the three groups were statistically significant(P<0.05);in group A,the a angle on the left and right sides was significantly lower than that in group B and group C,and the difference was statistically significant(P<0.05);in group B,the/3 angle was significantly higher than that in group B and group C,and the difference was statistically significant(P<0.05).Conclusion The ultrasonic Graf method has a high clinical value in the diagnosis of abnormal signs combined with DDH at different months of age.It can not only diagnose DDH,but also understand the progress of the disease.It is a good early screening method.

关 键 词：Graf法 异常体征 发育性髋关节发育不良 高危婴儿 超声诊断 

分 类 号：R726.8[医药卫生—儿科] R445.1[医药卫生—临床医学]