高频超声对婴儿发育性髋关节发育不良的诊断进展
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摘要
发育性髋关节发育不良(development dislocation of the hip,DDH)是婴儿常见的发育性骨关节畸形之一。未经治愈的DDH有随着患儿生长发育而病情逐渐加重甚至恶化,DDH是成年人退化性髋关节炎病变的主要原因。因此,早期诊断DDH能改善治疗效果,降低出现并发症的风险。近年来DDH的早期筛查在国内外受到重视,高频超声检查对婴儿髋关节结构具有高分辨力、重复性好且无放射性损害的特点,已成为早期诊断DDH的首选方法。本文就高频超声检查在婴儿DDH中的应用现状及进展予以综述。
Developmental dysplasia of the hip(Development dislocation of the hip,DDH)is one of the common severe developmental joint deformity in infants. Without treatment of DDH with the growth of children and the possibility of progressive or deterioration,DDH is main reason for adult degenerative hip arthritis. Therefore,early diagnosis of DDH can improve therapeutic effect,reduce the risk of complications.Early screening of DDH in recent years at home and abroad,high-frequency ultrasound on neonatal hip structure with high resolution,good repeatability and no radioactive damage characteristics,has become the preferred method of early diagnosis of DDH. In this paper,the application of high frequency ultrasound in neonatal DDH present situation and development were reviewed.
Developmental dysplasia of the hip(Development dislocation of the hip,DDH)is one of the common severe developmental joint deformity in infants. Without treatment of DDH with the growth of children and the possibility of progressive or deterioration,DDH is main reason for adult degenerative hip arthritis. Therefore,early diagnosis of DDH can improve therapeutic effect,reduce the risk of complications.Early screening of DDH in recent years at home and abroad,high-frequency ultrasound on neonatal hip structure with high resolution,good repeatability and no radioactive damage characteristics,has become the preferred method of early diagnosis of DDH. In this paper,the application of high frequency ultrasound in neonatal DDH present situation and development were reviewed.
引文
[1]姜俊,麻宏伟,戴晓梅,等.先天性髋关节脱位的遗传流行病学研究[J].中国医科大学学报,2006,5:514-517.
[2]黄自强,朱颖,麻妙群,等.先天性髋关节发育不良全髋置换术偏心距重建前后对比研究[J].浙江创伤外科,2015,2:226-230.
[3]Noordin S,Umer M,Hafeez K,et al.Developmental dysplasia of the hip[J].Orthop Rev(Pavia),2010,2:19.
[4]Vivek Gulati,Kelechi Eseonu,Junaid Sayani,et al.Develop-mental dysplasia of the hip in the newborn:A systematic review[J].World J Orthop,2013,4(2):32-41.
[5]R Seringe,JC Bonnet,E Katti.Pathogeny and natural history of congenital dislocation of the hip[J].Elsevier Masson SAS,2014,100:59-67.
[6]马虎升,孙正义,王栓科,等.髋臼发育不良髋臼缘生物力学测定[J].中国矫形外科杂志,2005,17:1316-1318.
[7]Graf R,Mohajer M,Plattner F.Hip sonography update.Quality management,catastrophes tips and tricks[J].Med Ultrason,2013,15(4):299-303.
[8]Reinhard Graf.王月香译.髋关节超声检查[M].第二版.北京:人民军医出版社,2011.64-72.
[9]Kohler G,Hell AK.Experiences indiagnosis andtreatment of hip dislocation and dysplasiain populations screened by the ultrasound method of Graf[J].Swiss Med Wkly,2003,133:484-487.
[10]Peterlein CD,Schüttler KF,Lakemeier S,et al.Reproducibility of different screening classifications in ultrasonography of the newborn hip[J].Bmc Pediatrics,2010,10(1):1-5.
[11]Morin C,Harcke HT,Hac Ewen GD.The infant hip:real-lime US assessment of acetabular development[J].Radiology,1985,157:673-677.
[12]Terjesen T.Ultrasonography for evaluation of hip dysplasia.Methods and policy in neonates,infants,and older children[J].Acta Orthop Scand,1998,69(6):653-662.
[13]Gunay C,Atalar H,Dogruel H,et al.Correlation of femoral head coverage and Graf angle in infants being screened for developmental dysplasia of the hip[J].International Orthopaedics,2008,33(3):761-4.
[14]Novick G,Ghelman B,Schneider M.Sonography of the neonatal and infant hip[J].Am J Roentgenol,1983,141:639-645.
[15]Harcke HT.Screening newborns for developmental dysplasia of the hip:the role of sonography[J].Am J Roentgenol,1994,162:395-397.
[16]Mabee MG,Thompson RB,Dulai S,et al.An index for diagnosing infant hip dysplasia using 3-D ultrasound:the acetabular contact angle[J].Pediatric Radiology,2016.1-9.
[17]赵亮,涂长玉,程建高,等.不同年龄段婴儿髋关节超声检查的临床研究[J].山东医学高等专科学校学报,2012,34(6):421-423.
[18]Khaled Aly Matrawy,Mohamed Ragab Nouh.Ultrasound screening for developmental dysplasia of the hip and its socioeconomic impact:Experience of tertiary care health level[J].Alexandria Journal of Medicine,2014,50,25-29.
[19]贾英英,聂芳,魏佳琪,等.正常婴儿髋关节超声多种评价参数的相关性研究[J].中国矫形外科杂志,2015,23(17):1546-1551.
[20]Rakovac I,Tudor A,Sestan B,et al.New“L value”parameter simplifies and enhances hip ultrasound interpretation in the detection of developmental dysplasia of the hip[J].International Orthopaedics,2011,35(10):1523-1528.
[21]John Amodio,Rafael Rivera,Lynne Pinkney,et al.Fefferman.The relationship between alpha angle and resistive index of the femoral epiphysis in the normal and abnormal infant hip[J].Pediatric Radiology,2006,36(8):841-844.
[22]Tschammler A,Beer M,Hahn D.Differential diagnosis of lymphadenopathy:power Doppler vs color Doppler sonography[J].Eur Radiol,2002,12:1794-9.
[23]Clara L,Ortiz-Neira MD,Eoghan Laffan MD,et al.Colour Doppler Ultrasound Assessment of the Normal Neonatal Hip[J].Canadian Association of Radiologists,2006,60:79-87.
[2]黄自强,朱颖,麻妙群,等.先天性髋关节发育不良全髋置换术偏心距重建前后对比研究[J].浙江创伤外科,2015,2:226-230.
[3]Noordin S,Umer M,Hafeez K,et al.Developmental dysplasia of the hip[J].Orthop Rev(Pavia),2010,2:19.
[4]Vivek Gulati,Kelechi Eseonu,Junaid Sayani,et al.Develop-mental dysplasia of the hip in the newborn:A systematic review[J].World J Orthop,2013,4(2):32-41.
[5]R Seringe,JC Bonnet,E Katti.Pathogeny and natural history of congenital dislocation of the hip[J].Elsevier Masson SAS,2014,100:59-67.
[6]马虎升,孙正义,王栓科,等.髋臼发育不良髋臼缘生物力学测定[J].中国矫形外科杂志,2005,17:1316-1318.
[7]Graf R,Mohajer M,Plattner F.Hip sonography update.Quality management,catastrophes tips and tricks[J].Med Ultrason,2013,15(4):299-303.
[8]Reinhard Graf.王月香译.髋关节超声检查[M].第二版.北京:人民军医出版社,2011.64-72.
[9]Kohler G,Hell AK.Experiences indiagnosis andtreatment of hip dislocation and dysplasiain populations screened by the ultrasound method of Graf[J].Swiss Med Wkly,2003,133:484-487.
[10]Peterlein CD,Schüttler KF,Lakemeier S,et al.Reproducibility of different screening classifications in ultrasonography of the newborn hip[J].Bmc Pediatrics,2010,10(1):1-5.
[11]Morin C,Harcke HT,Hac Ewen GD.The infant hip:real-lime US assessment of acetabular development[J].Radiology,1985,157:673-677.
[12]Terjesen T.Ultrasonography for evaluation of hip dysplasia.Methods and policy in neonates,infants,and older children[J].Acta Orthop Scand,1998,69(6):653-662.
[13]Gunay C,Atalar H,Dogruel H,et al.Correlation of femoral head coverage and Graf angle in infants being screened for developmental dysplasia of the hip[J].International Orthopaedics,2008,33(3):761-4.
[14]Novick G,Ghelman B,Schneider M.Sonography of the neonatal and infant hip[J].Am J Roentgenol,1983,141:639-645.
[15]Harcke HT.Screening newborns for developmental dysplasia of the hip:the role of sonography[J].Am J Roentgenol,1994,162:395-397.
[16]Mabee MG,Thompson RB,Dulai S,et al.An index for diagnosing infant hip dysplasia using 3-D ultrasound:the acetabular contact angle[J].Pediatric Radiology,2016.1-9.
[17]赵亮,涂长玉,程建高,等.不同年龄段婴儿髋关节超声检查的临床研究[J].山东医学高等专科学校学报,2012,34(6):421-423.
[18]Khaled Aly Matrawy,Mohamed Ragab Nouh.Ultrasound screening for developmental dysplasia of the hip and its socioeconomic impact:Experience of tertiary care health level[J].Alexandria Journal of Medicine,2014,50,25-29.
[19]贾英英,聂芳,魏佳琪,等.正常婴儿髋关节超声多种评价参数的相关性研究[J].中国矫形外科杂志,2015,23(17):1546-1551.
[20]Rakovac I,Tudor A,Sestan B,et al.New“L value”parameter simplifies and enhances hip ultrasound interpretation in the detection of developmental dysplasia of the hip[J].International Orthopaedics,2011,35(10):1523-1528.
[21]John Amodio,Rafael Rivera,Lynne Pinkney,et al.Fefferman.The relationship between alpha angle and resistive index of the femoral epiphysis in the normal and abnormal infant hip[J].Pediatric Radiology,2006,36(8):841-844.
[22]Tschammler A,Beer M,Hahn D.Differential diagnosis of lymphadenopathy:power Doppler vs color Doppler sonography[J].Eur Radiol,2002,12:1794-9.
[23]Clara L,Ortiz-Neira MD,Eoghan Laffan MD,et al.Colour Doppler Ultrasound Assessment of the Normal Neonatal Hip[J].Canadian Association of Radiologists,2006,60:79-87.