学龄期发育性髋关节脱位患儿应用髋臼周围旋转截骨联合髋臼成形术治疗的临床观察  

Clinical Observation of Rotational Acetabular Osteotomy Combined with Acetabuloplasty in School-age Children with Developmental Dislocation of Hip

作　　者：岳一婷 李红梅[1] 薛晶晶[1] 郭锦丽 黄永波 李文斌 薛瑞芳 YUE Yiting;LI Hongmei;XUE Jingjing;GUO Jinli;HUANG Yongbo;LI Wenbin;XUE Ruifang(Fenyang College,Shanxi Medical University,Fenyang 032200,China;不详)

机构地区：[1]山西医科大学汾阳学院,山西汾阳032200 [2]山西医科大学第二医院

出　　处：《中外医学研究》2024年第22期26-30,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：吕梁市科技计划项目(2020ZDSYS15)。

摘　　要：目的:观察学龄期发育性髋关节脱位(DDH)患儿应用髋臼周围旋转截骨(RAO)联合髋臼成形术治疗的临床效果。方法:回顾性分析2023年1—12月山西医科大学第二医院收治的60例学龄期DDH患儿的临床资料,根据不同治疗方式将患儿分为观察组和对照组,各30例。观察组采用RAO联合髋臼成形术治疗,对照组采用髋臼成形术治疗。比较两组临床疗效,术前和术后3个月髋臼指数、CE角、股骨颈前倾角度变化,术后3个月髋关节活动度、髋关节屈曲程度及Harris髋关节功能评分,术后并发症发生情况。结果:相较于对照组,观察组术后3个月优良率较高,差异有统计学意义(P<0.05);术后3个月,两组髋臼指数、股骨颈前倾角降低,CE角升高,且观察组各指标改善程度优于对照组,差异有统计学意义(P<0.05)。观察组术后3个月髋关节活动度、髋关节屈曲程度及Harris评分相较于对照组高,差异有统计学意义(P<0.05)。两组术后并发症发生率比较,差异无统计学意义(P>0.05)。结论:学龄期DDH患儿应用RAO联合髋臼成形术治疗的临床优良率较高,有助于促进髋臼指数、CE角、股骨颈前倾角恢复正常,改善髋关节功能。Objective:To observe the clinical effect of rotational acetabular osteotomy(RAO)combined with acetabuloplasty in school-age children with developmental dislocation of hip(DDH).Method:The clinical data of 60 school-age children with DDH who admitted to the Second Hospital of Shanxi Medical University from January to December 2023 were retrospectively analyzed,the children were divided into the observation group and the control group according to different treatment methods,with 30 cases in each group.The observation group was treated with RAO combined with acetabuloplasty,the control group was treated with acetabuloplasty.The clinical efficacy,changes of acetabular index,CE angle and femoral neck anteversion angle before and 3 months after operation,hip joint mobility,hip flexion degree and Harris hip function score at 3 months after operation,and postoperative complications were compared between two groups.Result:Compared with the control group,the excellent and good rate of the observation group at 3 months after operation was higher,and the difference was statistically significant(P<0.05).At 3 months after surgery,the acetabular index and femoral neck anteversion angle of two groups were decreased,and CE angle were increased,the improvement of each indexes in the observation group were better than those in the control group,and the differences were statistically significant(P<0.05).The hip joint mobility,hip flexion degree and Harris hip function score in the observation group at 3 months after operation were higher than those in the control group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of postoperative complications between two groups(P>0.05).Conclusion:RAO combined with acetabuloplasty has high clinical excellent and good rate in school-age children with with DDH,which is beneficial to promote the recovery of acetabular index,CE angle and femoral neck anteversion angle,and improve hip function.

关 键 词：髋臼周围旋转截骨 髋臼成形术 发育性髋关节脱位 学龄期 疗效 

分 类 号：R726.8[医药卫生—儿科]