超声测量GrafⅠ型髋关节婴儿头耻距正常参考值  

Ultrasound measurement of normal range of pubo-femoral distance in hips diagnosed with Graf typeⅠ

作　　者：张淑敏[1] 于静淼[1] 陈涛[1] 郭稳[1] 王丹丹[1] 秦晓婷[1] 赵一冰[1] 何靖楠[1] Zhang Shumin;Yu Jingmiao;Chen Tao;Guo Wen;Wang Dandan;Qin Xiaoting;Zhao Yibing;He Jingnan(Department of Ultrasound,Beijing Jishuitan Hospital,Beijing 100035,China)

机构地区：[1]北京积水潭医院超声科,100035

出　　处：《中华超声影像学杂志》2021年第10期901-903,共3页Chinese Journal of Ultrasonography

基　　金：北京市卫生健康和科技成果适宜技术推广项目资助(BHTPP202040);北京市医院管理局临床医学发展专项经费资助(XMLX201820);北京市自然科学基金项目(7182067)。

摘　　要：目的应用高频超声测量GrafⅠ型婴儿髋关节头耻距正常参考值。方法连续性收集2019年6月至2020年5月于北京积水潭医院行髋关节超声检查的双侧髋关节GrafⅠ型婴儿共1084例(2168髋),髋关节超声检查包括Graf法髋关节超声检查及屈髋内收横断面股骨头与耻骨骨化中心间的距离测量,计算头耻距95%医学参考值范围,并比较不同性别、不同月龄及双侧髋关节头耻距差异。结果GrafⅠ型髋关节头耻距为(0.27±0.06)cm,其95%参考值范围为0.15~0.38 cm,其中男性与女性头耻距分别为(0.27±0.06)cm、(0.27±0.07)cm,95%参考值范围分别为0.15~0.39 cm、0.13~0.41 cm。男性与女性头耻距间及各月龄头耻距间差异无统计学意义(均P>0.05),同一患儿左侧与右侧髋关节头耻距间差异有统计学意义[(0.274±0.064)cm对(0.265±0.064)cm,P<0.05]。结论GrafⅠ型髋关节头耻距95%参考值范围为0.15~0.38 cm。Objective To measure the pubo-femoral distance of hips of the infants diagnosed with Graf typeⅠby high frequency ultrasound.Methods A total of 1084 infants(2168 hips)diagnosed with Graf typeⅠby ultrasonography were collected in Beijing Jishuitan Hospital from June 2019 to May 2020.The ultrasonographic examinations included Graf method and pubo-femoral distance measurement.The 95%medical reference value was adopted to confirm range of normal values of the pubo-femoral distance.And the differences of the pubo-femoral distance between different gender,age and bilateral hip were compared.Results The pubo-femoral distance of hips diagnosed with Graf typeⅠwas(0.27±0.06)cm,the pubo-femoral distance of males was(0.27±0.06)cm,the pubo-femoral distance of females was(0.27±0.07)cm.The 95%medical reference value was 0.15-0.38 cm.The 95%medical reference value of males was 0.15-0.39 cm,and the 95%medical reference value of females was 0.13-0.41 cm.There were no significant differences between the sexes or between the age(all P>0.05).The difference between the bilateral hip joints from the same infant was statistically significant[(0.274±0.064)cm vs(0.265±0.064)cm,P<0.05].Conclusions The 95%medical reference value of hip diagnosed with Graf typeⅠis 0.15-0.38 cm.

关 键 词：超声检查 婴儿 发育性髋关节发育不良 头耻距 髋关节稳定性 

分 类 号：R445.1[医药卫生—影像医学与核医学] R726.8[医药卫生—诊断学]