超声在婴幼儿髋关节异常治疗疗效监测中的价值
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摘要
目的探讨超声在婴幼儿髋关节异常治疗疗效监测中的应用价值。方法选取28例患儿32个Ⅱc及以上分型的异常髋关节,联合应用Graf法及Morin法对其进行疗效监测并指导治疗。结果 32个髋关节经治疗后均转为正常型,治疗后转型为正常髋的α角度值较治疗前增加(40.7°±4.5°vs.63.7°±2.3°),差异有统计学意义(t=25.6,P<0.05)。治疗后转型为正常髋的股骨头覆盖率较治疗前增加(36.8%±7.1%vs.64.8%±2.5%),差异有统计学意义(t=21.1,P<0.05)。结论联合应用超声Graf法及Morin法对小儿髋关节异常治疗的疗效监测有重要价值。
Objective To assess the clinical value of ultrasonography in monitoring the therapeuric effect on dysplasia of the hip in infants.Methods Twenty-eight infants with 32 Ⅱc abnormal hips were enrolled in.All enrolled hips were examined by ultrasonography,the Graf and Morin technique were used to assess the clinical efficacy and guide the treatment.Results All32 abnormal hips turned into normal types,compared with pre-treatment,the α angle increased significantly after treatment(40.7°±4.5° vs.63.7°±2.3°),there was significant difference(t=25.6,P<0.05).Compared with the results before treatment,the femoral head coverage increased significantly after treatment(36.8%±7.1% vs.64.8%±2.5%),there was significant difference in monitoring dysplasia of the hip(t=21.1,P<0.05).Conclusion Combined with Grafe and Morin technique in monitoring dysplasia of the hip is effective,and has important value.
Objective To assess the clinical value of ultrasonography in monitoring the therapeuric effect on dysplasia of the hip in infants.Methods Twenty-eight infants with 32 Ⅱc abnormal hips were enrolled in.All enrolled hips were examined by ultrasonography,the Graf and Morin technique were used to assess the clinical efficacy and guide the treatment.Results All32 abnormal hips turned into normal types,compared with pre-treatment,the α angle increased significantly after treatment(40.7°±4.5° vs.63.7°±2.3°),there was significant difference(t=25.6,P<0.05).Compared with the results before treatment,the femoral head coverage increased significantly after treatment(36.8%±7.1% vs.64.8%±2.5%),there was significant difference in monitoring dysplasia of the hip(t=21.1,P<0.05).Conclusion Combined with Grafe and Morin technique in monitoring dysplasia of the hip is effective,and has important value.
引文
[1]赵亮,程建高.发育性髋关节脱位的超声早期诊断现状[J].中华超声影像学杂志,2011,20(4):355-357.
[2]Guner SI,Guner S,Peker E,et al.Are consanguineous marriage and swaddling the risk factors of developmental dysplasia of the hip?[J].J Membr Biol,2013,246(2):115-119.
[3]Kosar P,Ergun E,Yigit H,et al.Developmental dysplasia in male infants:risk factors,instability and ultrasound screening[J].Hip Int,2011,21(4):409-414.
[4]Sewell MD,Eastwood DM.Screening and treatment in developmental dysplasia of the hip--where do we go from here?[J].Int Orthop,2011,35(9):1359-1367.
[5]Kosar P,Ergun E,Gokharman FD,et al.Follow-up sonographic results for graf type 2a hips:association with risk factors for developmental dysplasia of the hip and instability[J].J Ultrasound Med,2011,30(5):677-683.
[6]Bracken J,Tran T,Ditchfield M.Developmental dysplasia of the hip:controversies and current concepts[J].J Paediatr Child Health,2012,48(11):963-973.
[7]Atweh LA,Kan JH.Multimodality imaging of developmental dysplasia of the hip[J].Pediatr Radiol,2013,43(1):166-171.
[8]Omeroglu H.Use of ultrasonography in developmental dysplasia of the hip[J].J Child Orthop,2014,8(2):105-113.
[9]Gulati V,Eseonu K,Sayani J,et al.Developmental dysplasia of the hip in the newborn:a systematic review[J].World J Orthop,2013,4(2):32-41.
[10]陈博昌.发育性髋关节异常的早期诊断和早期治疗[J].中华小儿外科杂志,2005,26(11):603-605.
[11]黄冬平,黄苑铭,高薇薇,等.新生儿发育性髋关节异常筛查结果分析[J].实用儿科临床杂志,2011,26(5):382-384.
[2]Guner SI,Guner S,Peker E,et al.Are consanguineous marriage and swaddling the risk factors of developmental dysplasia of the hip?[J].J Membr Biol,2013,246(2):115-119.
[3]Kosar P,Ergun E,Yigit H,et al.Developmental dysplasia in male infants:risk factors,instability and ultrasound screening[J].Hip Int,2011,21(4):409-414.
[4]Sewell MD,Eastwood DM.Screening and treatment in developmental dysplasia of the hip--where do we go from here?[J].Int Orthop,2011,35(9):1359-1367.
[5]Kosar P,Ergun E,Gokharman FD,et al.Follow-up sonographic results for graf type 2a hips:association with risk factors for developmental dysplasia of the hip and instability[J].J Ultrasound Med,2011,30(5):677-683.
[6]Bracken J,Tran T,Ditchfield M.Developmental dysplasia of the hip:controversies and current concepts[J].J Paediatr Child Health,2012,48(11):963-973.
[7]Atweh LA,Kan JH.Multimodality imaging of developmental dysplasia of the hip[J].Pediatr Radiol,2013,43(1):166-171.
[8]Omeroglu H.Use of ultrasonography in developmental dysplasia of the hip[J].J Child Orthop,2014,8(2):105-113.
[9]Gulati V,Eseonu K,Sayani J,et al.Developmental dysplasia of the hip in the newborn:a systematic review[J].World J Orthop,2013,4(2):32-41.
[10]陈博昌.发育性髋关节异常的早期诊断和早期治疗[J].中华小儿外科杂志,2005,26(11):603-605.
[11]黄冬平,黄苑铭,高薇薇,等.新生儿发育性髋关节异常筛查结果分析[J].实用儿科临床杂志,2011,26(5):382-384.