高频超声在婴幼儿先天性髋关节脱位及髋关节发育不良诊断中的应用价值
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摘要
目的分析高频超声在婴幼儿先天性髋关节脱位及髋关节发育不良诊断中的应用价值。方法选取2017年1月～2018年6月在四川省江油市人民医院接受髋筛超声检查的1500例6月龄内的婴幼儿为研究对象,均接受Graf法髋关节超声检查,以高频超声检查结果为依据,对婴幼儿髋关节形态进行准确评估,判定婴幼儿有无先天性髋关节脱位及髋关节发育不良现象,并分析髋关节发育异常患儿的年龄分布情况。结果接受髋筛超声检查的1500例6月龄内婴幼儿中,15例婴幼儿髋关节发育异常,发生率1.00%,且高频超声诊断准确率为100%。15例髋关节发育异常患儿中女性髋关节发育异常发生率高于男性,差异有统计学意义(P <0.05);27个发育异常的髋关节中,位置为左侧者多于右侧,差异有统计学意义(P <0.05)。15例髋关节发育异常婴幼儿中,年龄>5～6个月的婴幼儿发生率最高,其次为年龄>4～5个月、>2～3个月。结论高频超声在婴幼儿先天性髋关节脱位及髋关节发育不良诊断中的应用价值显著。
Objective To analyze the value of high-frequency ultrasound in the diagnosis of congenital dislocation of hip and dysplasia of hip in infants. Methods From January 2017 to June 2018, 1500 infants aged 6 months who underwent hip screening ultrasound examination in Jiangyou People′s Hospital of Sichuan Province were selected as the research objects. All infants were examined by Graf′s hip ultrasonography. Based on the results of high frequency ultrasound, the shapes of infants′ hip joint were accurately evaluated to determine whether infants had congenital dislocation of hip joint and dysplasia of hip joint. The age distribution of children with developmental dysplasia of the hip was analyzed. Results Among 1500 infants aged 6 months, 15 infants had abnormal hip development, the incidence was1.00%, and the diagnostic accuracy of high frequency ultrasound was 100%. The incidence of hip dysplasia in females was higher than that in males in 15 cases of hip dysplasia, and the difference was statistically significant(P < 0.05). Among 27 cases of hip dysplasia, the left side was more than the right side, and the difference was statistically significant(P < 0.05). Among 15 infants with dysplasia of hip joint, the incidence of infants aged >5 to 6 months was the highest, followed by infants aged >4 to 5 months and >2 to 3 months. Conclusion High frequency ultrasound is of great value in the diagnosis of congenital dislocation of hip and dysplasia of hip in infants.
Objective To analyze the value of high-frequency ultrasound in the diagnosis of congenital dislocation of hip and dysplasia of hip in infants. Methods From January 2017 to June 2018, 1500 infants aged 6 months who underwent hip screening ultrasound examination in Jiangyou People′s Hospital of Sichuan Province were selected as the research objects. All infants were examined by Graf′s hip ultrasonography. Based on the results of high frequency ultrasound, the shapes of infants′ hip joint were accurately evaluated to determine whether infants had congenital dislocation of hip joint and dysplasia of hip joint. The age distribution of children with developmental dysplasia of the hip was analyzed. Results Among 1500 infants aged 6 months, 15 infants had abnormal hip development, the incidence was1.00%, and the diagnostic accuracy of high frequency ultrasound was 100%. The incidence of hip dysplasia in females was higher than that in males in 15 cases of hip dysplasia, and the difference was statistically significant(P < 0.05). Among 27 cases of hip dysplasia, the left side was more than the right side, and the difference was statistically significant(P < 0.05). Among 15 infants with dysplasia of hip joint, the incidence of infants aged >5 to 6 months was the highest, followed by infants aged >4 to 5 months and >2 to 3 months. Conclusion High frequency ultrasound is of great value in the diagnosis of congenital dislocation of hip and dysplasia of hip in infants.
引文
[1]葛微,李琦,李连永,等.小儿发育性髋关节脱位:MRI增强观察股骨头血运已成研究热点[J].中国组织工程研究,2015,19(4):623-628.
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[10]曾云,陈后平.超声筛查婴儿髋关节发育不良初步应用[J]中国超声医学杂志,2015,31(8):736-738.
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[12]刘秋亮,王义生,刘玉峰,等.新生儿与婴幼儿髋关节发育不良的院内筛查[J].中国骨与关节杂志,2016,5(7):483-486.
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[14]栗平,张元智,郭志英,等.三维可视化在婴幼儿髋关节发育不良超声影像学中的应用[J].中国医药导报,2014,11(23):83-86.
[15]刘雨睿,李青,何自立,等.婴儿髋关节发育不良筛查及超声检查在早期诊断中的价值[J].中国现代医学杂志,2017,27(21):89-93.
[16]Multerer C,D觟derlein L.Congenital dysplasia and dislocation of the hip:proven and new procedures in diagnostics and therapy[J].Orthopade,2014,43(8):733-741.
[17]秦海辉,禚保彪,李圆,等.超声早期诊断新生儿及3个月以内小婴儿发育性髋关节发育不良的价值[J].徐州医学院学报,2015,35(9):606-608.
[18]董甜甜,聂芳,魏佳琪,等.超声对新生儿髋关节发育不良的早期诊断及疗效评价[J].中国超声医学杂志,2016,32(10):942-945.
[19]Zagra L,Bianchi L,Mondini A,et al.Oblique femoral shortening osteotomy in total hip arthroplasty for high dislocation in patients with hip dysplasia[J].Int Orthop,2015,39(9):1797-1802.
[20]栗平,张元智,窦蕊,等.三维虚拟现实成像结合二维超声图像可视化评价婴幼儿髋关节发育不良[J].中国组织工程研究,2014,18(9):1398-1403.
[21]朱杰,赵黎.发育性髋关节发育不良的超声筛查:研究进展与目前问题[J].国际骨科学杂志,2016,37(3):153-156.
[2]栗平,张元智,郭志英,等.虚拟髋关节现实图像在婴幼儿髋关节发育不良超声影像学中的应用[J].山西医药杂志,2014,43(11):1231-1233.
[3]李健,吴添龙,程细高.发育性髋关节发育不良的影像学研究进展[J].中国矫形外科杂志,2015,23(13):1202-1205.
[4]高树熹,李祁伟.小儿发育性髋关节发育不良Pavlik吊带治疗中超声检查与X线检查的对照研究[J].中国超声医学杂志,2014,30(7):652-655.
[5]Atalar H1,Gunay C,Yavuz OY,et al.Maternal Height and Infant Body Mass Index Are Possible Risk Factors for Developmental Dysplasia of the Hip in Female Infants[J].Acta Medica Okayama,2015,69(6):349-349.
[6]张华珍,李丽珍,张健,等.基层医院高频超声及X线诊断婴儿发育性髋关节发育不良的应用价值[J].放射学实践,2015,30(7):783-786.
[7]张娜,陈雪辉,王连英.婴幼儿发育性髋关节发育不良的超声筛查---130例婴幼儿筛查分析[J].中国妇幼健康研究,2016,27(3):376-378.
[8]章晓锋,张玲.高频超声对婴儿发育性髋关节发育不良的诊断进展[J].中国优生与遗传杂志,2017,9(9):126-128.
[9]王新刚,安琪,李元元,等.超声检查和X线检查对髋关节发育不良的诊断比较[J].中国实验诊断学,2015,19(2):300-301.
[10]曾云,陈后平.超声筛查婴儿髋关节发育不良初步应用[J]中国超声医学杂志,2015,31(8):736-738.
[11]许迁.高频超声作用于婴幼儿发育性髋关节发育不良诊断中的综合价值[J].中国保健营养,2017,27(8):303-303.
[12]刘秋亮,王义生,刘玉峰,等.新生儿与婴幼儿髋关节发育不良的院内筛查[J].中国骨与关节杂志,2016,5(7):483-486.
[13]许春涛,姜进平,刘瑞俭.发育性髋关节发育不良的婴儿早期筛查与干预[J].检验医学与临床,2016,13(z1):101-104.
[14]栗平,张元智,郭志英,等.三维可视化在婴幼儿髋关节发育不良超声影像学中的应用[J].中国医药导报,2014,11(23):83-86.
[15]刘雨睿,李青,何自立,等.婴儿髋关节发育不良筛查及超声检查在早期诊断中的价值[J].中国现代医学杂志,2017,27(21):89-93.
[16]Multerer C,D觟derlein L.Congenital dysplasia and dislocation of the hip:proven and new procedures in diagnostics and therapy[J].Orthopade,2014,43(8):733-741.
[17]秦海辉,禚保彪,李圆,等.超声早期诊断新生儿及3个月以内小婴儿发育性髋关节发育不良的价值[J].徐州医学院学报,2015,35(9):606-608.
[18]董甜甜,聂芳,魏佳琪,等.超声对新生儿髋关节发育不良的早期诊断及疗效评价[J].中国超声医学杂志,2016,32(10):942-945.
[19]Zagra L,Bianchi L,Mondini A,et al.Oblique femoral shortening osteotomy in total hip arthroplasty for high dislocation in patients with hip dysplasia[J].Int Orthop,2015,39(9):1797-1802.
[20]栗平,张元智,窦蕊,等.三维虚拟现实成像结合二维超声图像可视化评价婴幼儿髋关节发育不良[J].中国组织工程研究,2014,18(9):1398-1403.
[21]朱杰,赵黎.发育性髋关节发育不良的超声筛查:研究进展与目前问题[J].国际骨科学杂志,2016,37(3):153-156.