婴儿髋关节超声髂骨下肢线的意义  

Significance of iliac-lower extremity line in hip ultrasound in infants

作　　者：赵亮[1] 李玉芹 高少平 高振华[1] 白可[1] 祖德佩[1] 赵干[1] ZHAO Liang;LI Yu-qin;GAO Shao-ping;GAO Zhenhua;BAI Ke;ZU De-pei;ZHAO Gan(Traditional Chinese Medicine Hospital of Linyi City,Linyi 276002,China;Oncology Hospitalof Linyi City,Linyi 276000,China;Taizhou Institute of Maternal and Child Health Care,Taizhou 225300,China)

机构地区：[1]临沂市中医医院,山东临沂276002 [2]临沂市肿瘤医院,山东临沂276000 [3]泰州市妇幼保健所,江苏泰州225300

出　　处：《中国矫形外科杂志》2023年第19期1797-1800,共4页Orthopedic Journal of China

摘　　要：[目的]探讨髂骨下肢线评价婴儿髋关节发育不良的诊断价值。[方法]运用Graf法对863名婴儿髋关节进行检查,观察在不同类型婴儿髋关节超声图像中髂骨下肢线与股骨头位置关系。分别对不同年龄、性别、α角、β角及Graf各类型中髂骨下肢线阳性组与阴性组进行比较。[结果]863名婴儿中,初次接受髋关节超声检查时,阳性组婴儿的日龄显著小于阴性组[(53.2±25.3)d vs(67.7±34.0)d,P<0.001],阳性组女性比率显著高于阴性组[男/女,(69/108)vs(340/346),P<0.001]。阳性组髋关节α角[(53.7±4.6)°vs(60.1±4.5)°,P<0.001]显著小于阴性组,而髋关节β角[(77.5±6.0)°vs(71.9±6.0)°,P<0.001]显著大于阴性组,两组Graf分型的差异无统计学意义(P>0.05)。[结论]采用Graf法检测婴儿髋关节时,髂骨下肢线可用于判断股骨头在髋臼内是否发生移位。[Objective]To evaluate the diagnostic value of iliac-lower extremity line in hip ultrasound for developmental dysplasia of the hip(DDH)in infants.[Methods]The hip ultrasound examination was conducted in 863 infants by Graf method,and the relationships be-tween iliac-lower extremity line and femoral head in different Graf types of the hip were determined.The age,sex,αangle,βangle and Graf types of the hip were compared between the positive and negative groups of the iliac-lower extremity line.[Results]At the primary ultra-sound examination of the 863 infants,the iliac-lower extremity line positive group was significantly younger than the negative group in age[(53.2±25.3)days vs(67.7±34.0)days,P<0.001],and the positive groups had significantly higher ratio of female than the negative group[male/female,(69/108)vs(340/346),P<0.001].In addition,the positive group got significantly less alpha angle[(53.7±4.6)°vs(60.1±4.5)°,P<0.001],while significantly greaterβangle[(77.5±6.0)°vs(71.9±6.0)°,P<0.001]than the negative group,despite of no statistically signifi-cant difference in Graf type of the hips between the two groups(P>0.05).[Conclusion]As Graf method is used to detect the hip in infants,the iliac-lower extremity line might be helpful for judging whether the femoral head is displaced related to the acetabulum.

关 键 词：婴儿 髋关节 超声 诊断 髋关节发育不良 

分 类 号：R681.57[医药卫生—骨科学]