先天性外展性髋挛缩症的诊治体会

The Diagnosis and Treatment Experience of Congenital Abduction Contracture of the Hip

目的 :根据先天性外展性髋挛缩的 (congenitalabductioncontractureofthehip ,CACOH)病因、分型及手术治疗体会 ,说明CACOH是由先天性因素引起的一组以髋关节外展外旋畸形、内收内旋功能障碍为表现的临床症候群。方法 :对 3 1例CACOH典型临床表现的患者病因、分型、鉴别及手术治疗分析 ,并对手术效果进行随访评价。结果 :手术治疗 3 1例CACOH ,随访 6月～ 4年 ,平均 1年 9月 ,畸形全部得到矫正 ,髋关节内收内旋功能恢复正常或接近正常 ,手术优良率 96.7%。结论 :提示本病的存在 ,并与类似该病的疾病相鉴别 ,根据病因结合分型有助于更好的认识并指导治疗CACOH。

Objective: To show congenital abduction contracture of the hip (CACOH)is a congenital clinical syndrome which main signs are hip malformation on abduction,external rotation position,hip-joint medial-rotation.abduction function anomaly.Methods:Analysis 31 CACOH cases' etiologic factors,classification and operative experience to evaluate the effect of operations.Results:31 CACOH cases all underwent operations.After follow-up 6 months～4years.average 1year 9 months,showed that all patients' deformities were corrected,hip-joint abduction,medial-rotation function got normal or nearly normal.The succeessful rate is 96.7%.Conclusion:To show the influence of CACOH its clinical features,differentiate it from other disease which have same symtoms.To guide the further research for improvement of treatment remedy in CACOH.