在基层开展新生儿DDH筛查并进行早期治疗的研究

Screening of developmental dysplasia of hip for neonates and its early treatment

目的 探讨新生儿发育性髋关节异常（DDH）的发病情况.方法 选取2010年1月至2013年8月在本院出生的1445例足月新生儿.对所有发现有阳性体征新生儿进行超声检查髋关节测量.对髋关节发育不良患儿采取随访观察,而对髋关节半脱位的DDH患儿行早期Pavlik吊带治疗,同时采用超声跟踪随访.结果 197例DDH新生儿中髋关节发育不良的发病率为13.6％,DDH患儿髋关节超声测量指标α角、β角及FHC与健康新生儿超声测量指标比较,差异均有统计学意义（P＜0.05）.结论 超声检查是新生儿DDH筛查的首选方法,通过推广DDH临床常规的筛查知识,可以有效的开展新生儿DDH筛查和早期治疗,可改善患儿预后.

Objective To explore the morbidity of developmental dysplasia of hip（DDH） in neonates.Methods 1445 full-term neonates were examined with the ultrasonography technique.The semidislocation of hip joint group were treated with Pavlik early and then were checked by ultrasonography.Results 197 neonates had DDH,with an incidence of 13.6%.There were statistical differences in angle α degrees,angle β degrees,and femoral head coverage between normal hip group and DDH group （P 〈 0.05）.Conclusions Ultrasonography can be a preferred screening method for diagnosing DDH.Generalizing the knowledge of DDH clinical routine screening is useful to carry out neonatal DDH screening and early treatment and can improve the prognosis.