1328例汉族和维吾尔族新生儿髋关节超声测量研究

Sonographic measures of the hip joint of 1328 newborns of Han and Uygur nationalities relative factors of congenital dislocation of hip

为探讨先天性髋脱位（ＣＤＨ）的有关因素，作者采用Ｅｎｇｅｓａｅｔｅｒ、Ｔｅｒｊｅｓｅｎ、Ｇｒａｆ、Ｍｏｒｉｎ－Ｈａｒ－ｃｋｅ四种超声方法对１３２８名汉维新生儿髋关节进行了检查。结果表明：汉维新生儿之间差异均无统计学意义；男女髋关节各值差异有显著性意义（Ｐ＜０．０００５），ＣＤＨ发病率女孩明显高于男孩。作者认为：我国各地区、各民族之间ＣＤＨ发病率的差异，与新生儿髋臼深浅即头臼覆盖率无明显关系，可能是由于其它先天或后天因素所致；男女ＣＤＨ发病率不同，与新生儿期女性髋臼深度值即头臼覆盖率小于男性有关。

The four sonographic methods(Engesaeter,Terjesen,Graf,Morin Harcke) were used for examining the hip joint of 1328 newborns of Han and Uygur nationalities.The difference between Han and Uygur newborns was not statistical significant,but some literatures reported that in our country,the incidence of different nationalities in different regions varied.Our conclusion is that there is no obvious relationship between the depth of the acetabulum and the percentage of the femoral head covered by the acetabulum.It is caused by other factors,inherent or acquired.The value of the hip joint of the male and female has significant difference( P <0 0005).The incidence of CDH in girls is much higher than that in boys.This may be related to the different depth of the acetabulum and different percentage of the femoral head covered by the acetabulum.In the period of newborn,girl's depth of the acetabulum is smaller than that of boys.