发育性髋关节发育不良患儿的早期干预探究

Exploration on early intervention of children with developmental dysplasia of the hip

目的对本地区婴幼儿髋关节进行早期筛查,促进本地区发育性髋关节发育不良(DDH)疾病的早发现、早诊断、早治疗。方法 8200例婴幼儿作为本次的研究对象,对DDH婴幼儿采取体格检查及B超筛查,观察骨性髋臼和股骨头的发育情况。结果 8200例婴幼儿中,Graf分型Ⅰ型7845例,Ⅱa型288例,Ⅱb型52例,Ⅲ型10例、Ⅳ型5例,经保守治疗后除2例Ⅳ型病例因髋臼发育欠佳后期行手术治疗外,其他均获得良好的对位,髋臼发育良好。结论采取早期筛查的形式,及时发现DDH婴幼儿髋关节脱位情况并及时对症治疗,有利于获得较为满意的治疗效果,值得实践推广。

Objective To do early screening of children’s hip joint in this region,so as to promote the earlydetection,early diagnosis and early treatment of developmental dysplasia of the hip(DDH)in this region.Methods Atotal of8200infants as study subjects,and DDH infants all received physical examination and B-mode ultrasonographyscreening.Development situation of bony acetabulum and femoral head were observed.Results Among8200infants,there were7845typeⅠcases,288typeⅡa cases,52typeⅡb cases,10typeⅢcases and5typeⅣcases by Grafclassification.After conservative treatment,all cases got good contraposition,and the acetabulum developed well,except2type IV cases treated with surgical treatment because of poor acetabular development.Conclusion In theform of early screening,timely detection of DDH hip dislocation in infants and timely symptomatic treatment areconducive to obtain more satisfactory treatment effect,and it is worthy of practical promotion.