江门地区0~6个月婴儿发育性髋关节发育异常超声筛查现状与分析

Status quo and analysis of ultrasonic screening for developmental dysplasia of the hip joint in the infants aged 0-6 months in Jiangmen area

目的分析江门地区超声筛查婴儿发育性髋关节发育异常的现状及意义。方法采用Graf超声检查法对在本院就诊的2432例(男1037例,女1395例)0~6个月婴儿髋关节进行筛查,根据Graf法进行分型并观察股骨头内的骨化中心发生率。结果在2432例(4864个)髋关节中,Ⅰ型有4845个,占99.6%,发育不良的有19个,占0.4%。髋关节发育不良病例中男2个,女17个,男女比较差异有统计学意义(P<0.05)。骨化中心的发生率在性别中比较差异有统计学意义(P<0.05)。结论超声具有安全、简便、经济特点,可在早期发现DDH,能有效降低晚期手术,减少残疾发生,对提高人口素质、减少儿童残疾有重大意义。

Objective To analyze the status quo and significance of ultrasonic screening for developmental dysplasia of the hip joint(DDH)in the infants in Jiangmen area.Methods The hip joints of 2432 infants(1037 males and 1395 females)aged 0-6 m treated in our hospital were screened through Graf’s hip ultrasonography.Graf method was used for typing,and the incidence of ossification centers in femoral head was observed.Results Among the 4864 hip joints of 2432 infants,4845 belonged to type I,accounting for 99.6%,and 19 were dysplastic,accounting for 0.4%.There were 2 males and 17 females among hip dysplasia cases,and the differences between the males and females were statistically significant(P<0.05).The difference in the incidence of ossification centers between the different sexes was statistically significant(P<0.05).Conclusion Ultrasound is characteristically safe,simple and economical.It can detect DDH at an early stage,effectively decrease late surgeries and reduce the occurrence of disability.Thus,it is of great significance for improving the quality of population and reducing disability in children.