超声检查格拉夫法在0～6个月婴幼儿发育性髋关节异常筛查中的应用

Application of ultrasound graff method in the screening of developmental hip joint abnormality in infants aged 0-6 months

目的分析髋关节超声检查格拉夫法在0～6个月婴幼儿发育性髋关节异常(DDH)筛查中的应用价值。方法选取四川省江油市人民医院2017年2月～2018年2月诊治的0～6个月婴幼儿1052例,均运用髋关节超声检查格拉夫法实施检查,查看髋关节形态,对α、β角测量,并展开统计分析。结果 1052例婴幼儿2104个髋关节中,正常髋关节2084个,异常髋关节20个,发育性髋关节异常8个。经超声检测ɑ角与β角呈负相关(r=-0.57,P<0.05),ɑ角与月龄呈正相关(r=0.18,P<0.05),β角与月龄呈负相关(r=-0.23,P<0.05)。正常髋与异常髋患儿的ɑ角与β角测定结果差异有统计学意义(P<0.05)。结论髋关节超声检查格拉夫法可将0～6个月婴幼儿发育性髋关节异常尽早筛查出来,为本地区DDH发病情况提供依据,并可为DDH患儿的尽早治疗提供重要信息。

Objective To analyze the value of graff method in the screening of developmental hip dysplasia(DDH) in infants aged 0-6 months. Methods From February 2017 to February 2018, 1052 infants aged 0-6 months who were diagnosed and treated in Jiangyou People′ s Hospital of Sichuan Province were selected. All of them were examined by hip joint ultrasound examination using graff method. Measurement of α,β angles and statistical analysis were carried out. Results All of the 2104 hip joints in 1052 infants, 2084 were normal, 20 were abnormal and 8 were developmental. The ultrasonic testing α angle was negatively associated with β angle(r =-0.57, P < 0.05), and the α angle was positively associated with months(r = 0.18, P < 0.05), and the β angle was negatively correlated with age of month(r =-0.23, P < 0.05). The α angle and β angle determination results difference between infants with normal and abnormal hipjoints were statistically significant(P < 0.05). Conclusion Ultrasound examination of hip joint by graff method can screen developmental hip joint abnormality in infants 0-6 months old as early as possible, and provide a basis for the incidence of DDH in this region and provid important information for the early treatment of DDH children.