贝氏石膏制动治疗儿童股骨头骨骺骨软骨病的临床疗效分析  

Clinical Analysis of the Therapeutic Effect of Baylor Plaster Immobilization in the Treatment of Legg-Calve-Perthes Disease in Children

作　　者：高国玺 胡建华[1,2] 杨召 张俊[1,2] 张超 Gao Guoxi;Hu Jianhua;Yang Zhao;Zhang Jun;Zhang Chao(Department of Orthopedics,Affiliated Hospital of Kunming University of Science and Technology,Kunming 650032,China;Department of Orthopedics,The First People's Hospital of Yunnan Province,Kunming 650032,China)

机构地区：[1]昆明理工大学附属医院骨科,昆明650032 [2]云南省第一人民医院骨科,昆明650032

出　　处：《大理大学学报》2023年第4期64-68,共5页Journal of Dali University

基　　金：云南省骨科与运动康复临床医学研究中心开放课题项目(22YJZX-GX27);云南省第一人民医院临床医学中心开放课题项目(2022LCZXKF-CS04)。

摘　　要：目的:分析贝氏石膏制动在治疗儿童股骨头骨骺骨软骨病(以下简称“Perthes病”)的临床疗效。方法:治疗前对纳入研究的18例Perthes病患儿进行Catterall分型,治疗结束后所有患儿至少随访2年,随访结束时进行Stulberg愈后分级和髋关节Harris评分。结果:所有患儿平均诊断(2.6±4.1)个月后开始接受治疗,平均贝氏石膏制动时间为(14.3±5.2)个月,在随访期间患儿髋关节活动无明显限制,随访结束时Stulberg分级结果显示:优占66.7%,良占22.2%,差占11.1%。随访结果显示,年龄小于6岁且Catteral分型为1型或2型的患儿,其治疗后均具有优或良的Stulberg分级结果,而年龄大于6岁且Catteral分型为3型或4型的患儿,其Stulberg分级结果普遍不理想,但通过长时间的贝氏石膏制动治疗后,也有可能获得不错的Stulberg分级结果。结论:长期贝氏石膏制动可以有效治疗儿童Perthes病。Objective:To analyze the clinical efficacy of Baylor plaster immobilization in the treatment of Legg-Calve-Perthes disease in children(hereinafter referred to as"Perthes disease").Methods:Before treatment,18 children with Perthes disease were classified by Catterall.After treatment,all children were followed up for at least 2 years.At the end of the follow-up,Stulberg classification evaluation and Harris score of hip joint were performed.Results:All the children began to receive treatment after the average diagnosis of(2.6±4.1)months,and the average time of Baylor plaster immobilization was(14.3±5.2)months.During the follow-up period,there was no significant limitation on the hip joint activity in the children.At the end of the follow-up,the Stulberg classification results showed that 66.7%were excellent,22.2%were good,and 11.1%were poor.The follow-up results showed that children under the age of 6 with Catteral type 1 or type 2 had excellent or good Stulberg classification after treatment,while children over the age of 6 with Catteral type 3 or type 4 generally had poor Stulberg classification.However,it was possible to obtain good Stulberg classification results after prolonged treatment with Baylor plaster immobilization.Conclusion:Long-term Baylor plaster immobilization can effectively treat Perthes disease in children.

关 键 词：贝氏石膏 儿童 股骨头骨骺骨软骨病 

分 类 号：R726.8[医药卫生—儿科]