婴幼儿发育性髋关节发育不良超声筛查研究

Ultrasound Screening of Pediatric Developmental Dysplasia of Hip in Infant

目的：探讨超声筛查在婴幼儿髋关节发育不良疾病中的应用价值。方法：采用西门子Antares的高频线阵探头，按Graf方法对2014年6月～2016年6月间在我院出生的16857例婴幼儿，月龄为1．5月～6月，进行发育性髋关节发育不良超声筛查，按照性别分组，并进行统计学分析。结果：共筛查出髋关节发育异常的患儿42例，总患病率在2．49‰，其中男性患儿7例（0．41‰），女性患儿35例（2．07‰），其中女孩发病率显著高于男孩（P＜0．05）。结论：超声是发现婴幼儿髋关节发育不良的有效方法，为临床医生提供了极其重要的信息，对早期正确把握治疗时机提供了可能，能够有效的降低病变的发生率。

Objective：To investigate the application value of ultrasound screening for developmental dysplasia of the hip （ DDH） in infant.Methods：We performed DDH ultrasound on screening 16 857 children from June 2014 to June 2016 born in the hospital.Age from 1.5 months to 4 months. The total samples were grouped according to sex , and then we performed statistical analysis .Results：42 （2.49‰） of 16 857 children had DDH, 7 （0.41‰） of whom were male and 35 （2.07‰） were female.The prevalence of DDH is sig-nificantly greater in female than male （P〈0.05）.Conclusion： Ultrasound screening in the diagnosis of DDH can play a vital role for clinical research .To choose a better treatment time in the earlier stage in the disease can have a good control of the development of lesion .