在儿童股骨头缺血性坏死手术中手术方法的合理选择

A study on the selection of operation method in Leg-Calve-Perthes disease in children

目的:为探讨骨骺突出指数对儿童股骨头缺血性坏死包容手术选择应用的实际价值。方法:对Sater和Chiari手术方法治疗的60例CatterallⅢ、Ⅳ(SalterB)病例进行分析。结果:60例患儿正位X线片下测得其骨骺突出指数在8%-20%之间32例,22%-53%之间28例。术后结果以Mose法评定,Saler组29例,优12例,良10例,差7例;Chiari组31例,其中优占16例,良12例,差3例。Salter组差者7例中骨骺突出指数均大于20%。结论:骨骺突出指数在骨盆包容手术方法选择及预后判定有重要参考价值。应把小于20%的骨骺突出指数纳入对Salter手术选择的重要参数指标;骨骺突出指数大于20%者宜选择Chiari手术。

Objective To evaluate the value of epiphyseal extrusion index to choice of the operations of coveting for LegCalve-Perthes disease. Method Sixty patients treated with Salter or Chiari operation were analyzed. Results 12 of 29 cases treated with Salter operation were excellent ,10 cases were good and 7 cases were bad by Mose＇s evaluation method. The epiphyseal extrusion indexs of bad 7cases were more than 20%,and those of the other 28cases were less than 20%. Conclusion Epiphyseal extrusion indexs of being more than 20% should be bring into important parameter index,being less than 20% should be treated with Chiari operation.