Salter及Pemberton截骨术治疗DDH的疗效比较

Comparison of Salter and Pemberton Osteotomy in the Treatment of DDH

目的比较Salter及Pemberton截骨术治疗发育性髋关节发育不良(DDH)临床疗效。方法选取2016年2月~2018年2月我院治疗的58例发育性髋关节发育不良患儿为研究对象,采用随机数字表法分为Salter组和Pemberton组,各29例。Salter组采用Salter截骨术治疗,Pemberton组采用Pemberton截骨术治疗,比较两组临床治疗优良率、AI角、CE角、髋臼深度以及并发症发生情况。结果Salter组临床治疗优良率(89.65%)与Pemberton组优良率(93.10%)比较,差异无统计学意义(P>0.05);术后两组CE角、髋臼深度均大于术前,AI角均小于术前(P<0.05);Pembert组CE角、髋臼深度与Salter组比较,差异无统计学意义(P>0.05);Pemberton组术前AI角大于Salter组(P<0.05);随访1年,Pemberton组并发症发生率(6.89%)与Salter组(10.34%)比较,差异无统计学意义(P>0.05)。结论Salter及Pemberton截骨术治疗发育性髋关节发育不良均具有确切的疗效,且并发症少,应用安全性良好,但Pemberton截骨术应用范围更广,可作为临床首选术式。

Objective To compare the clinical efficacy of Salter and Pemberton osteotomy in the treatment of developmental hip dysplasia.Methods A total of 58 children with developmental hip dysplasia treated in our hospital from February 2016 to February 2018 were selected as the research subjects.They were divided into Salter group and Pemberton group by random number table method,each group with 29 patients.The Salter group was treated with Salter osteotomy,and the Pemberton group was treated with Pemberton osteotomy.The clinical treatment excellent rate,AI angle,CE angle,acetabular depth,and complications were compared between the two groups.Results The excellent and good rate of clinical treatment in the Salter group(89.65%)and the excellent and good rate in the Pemberton group(93.10%)showed no significant difference(P>0.05).The CE angle and acetabular depth of the two groups were greater than those of the preoperative and AI angles.Less than before surgery(P<0.05);CE angle and acetabular depth of the Pembert group were not significantly different from those of the Salter group(P>0.05);AI angle of Pemberton group was greater than that of the Salter group(P<0.05);the follow-up 1 year,the incidence of complications in the Pemberton group(6.89%)compared with the Salter group(10.34%),the difference was not statistically significant(P>0.05).Conclusion Salter and Pemberton osteotomy are effective in the treatment of developmental hip dysplasia with fewer complications and good application safety.However,Pemberton osteotomy has a wider range of applications and can be used as the clinical preferred method.