发育性髋关节异常筛查在社区儿童保健门诊中的意义

The significance of screening for developmental dysplasia of the hip in the community child health care clinic

目的 :探讨社区儿童保健门诊在早期临床筛查婴幼儿发育性髋关节异常(DDH)的意义。方法 :选择2014年1月至2017年3月在本社区卫生服务中心进行系统观察的婴儿898例,男性471例,平均月龄(2.15±0.50)月;女性427例,平均月龄(2.15±0.54)月。结果:体检中发现DDH可疑者151例(16.81%),其中男童检出率为12.53%(59/471),女童检出率为21.54%(92/427),差异有统计学意义(P<0.01)。经上级医疗单位影像学诊断出DDH患儿27例,诊断率为3.01%,男童的诊断率为1.27(6/471),女童的诊断率为4.91%(21/427),差异有统计学意义(P<0.05)。随访发现,经过干预治疗,所有DDH患儿均发育为正常髋关节。结论 :社区儿童保健门诊临床筛查DDH患者具有重要作用。

Objective： To explore the signi？cance of community child health care clinic in early clinical screening of developmental dysplasia of the hip （DDH） in infants and children. Methods： From January 2014 to March 2017, 898 infants in the community health service center who were systematically observed were selected, including 471 males, mean age（2.15±0.50） months, and 427 females, with an average age of （2.15±0.54） months. Results： One hundred and fifty-one cases（16.81%） of suspicious DDH were found in the physical examination, among whom the detection rate of boys was 12.53%（59/471）, and the detection rate of girls was 21.54%（92/427）, and the diference was statistically signi？cant（P〈0.01）. Twenty-seven cases of DDH were diagnosed by medical imaging of the higher medical units, the diagnostic rate was 3.01%, the diagnostic rate of boys was 1.27（6/471）, the diagnostic rate of girls was 4.91%（21/427）, and the diference was statistically significant（P〈0.05）. The follow-up found that after intervention all children with DDH developed normal hip joint. Conclusion： The clinical screening of DDH patients in the community child health care clinic is of great importance.