高频超声在婴幼儿先天性髋关节脱位和发育不良中的诊断价值

The value on high frequency ultrasound in the diagnosing of congenital dislocation and dysplasia of the hip joint of infant

目的:探索高频超声在婴幼儿先天性髋关节脱位和发育不良诊断中的临床价值,为临床的诊断治疗提供帮助。方法:对421例7个月以内的婴幼儿(842个髋关节)行Graf法髋关节超声检查,通过观察骨性髋臼、骨性髋臼外侧缘、软骨性髋臼形态及测量α、β角,对髋关节进行Graf分型,探讨高频超声作为新生儿髋关节发育不良筛查的诊断工具对临床治疗效果进行动态观察的价值。结果:检查7个月以下婴幼儿421例(842个髋关节),其中,正常髋关节370例(740个髋关节),婴幼儿先天性髋关节半脱位14例(28个髋关节),全脱位8例(16个髋关节),发育不良29例(58个髋关节)。结论:超声波具有无创、无射线的特性,且检查方便,无禁忌证,可以重复应用,可作为对新生儿进行筛查工作的首选检查,还能对临床的治疗效果进行动态观察。

Objective： To explore the clinical value on high frequency ultrasound in the diagnosing of congenital dislocation and dysplasia of the hip joint of infants to offer help for clinical diagnosis and treatment.Methods： 421 infants（842 hips） who were under the age seven months were examined by Graf method of ultrasound examination in hip joint.The hip joint was classified with Graf method by observing the skeletal dysplasia,skeletal dysplasia boundary,soft skeletal dysplasia morphology,angels α and β.Results： Among 421 infants（842 hips） who were under the age of seven months,and there were 370 cases（740 hips） to be normal,there were 14 cases（28 hips） suffered from congenital subluxation of hip,8 cases（16 hips） suffered from congenital dislocation of hip,29 cases（58 hips） suffered from contracted congenital dysplasia of hip.Conclusion： Ultrasonic has the advantages of non-invasive and no radiation,what＇s more,it＇s convenient to use for checking,and with no contraindication,and it can be applied repeatedly.It is the first choice as screening for the infants,and it can help observing the effect of the clinical therapy.