同期手术治疗小儿双侧发育性髋关节脱位的初步疗效分析

发布时间：2018-02-15 11:22

本文关键词： 小儿双侧发育性髋关节同期手术手术方法意义　出处：《新疆医科大学》2012年硕士论文　论文类型：学位论文

【摘要】：目的：分析同期手术治疗小儿双侧发育性髋关节脱位的手术方法和治疗结果，评估该手术方法的意义。方法：通过对25例同期手术治疗双侧发育性髋关节脱位患儿的随访，，采用Pemberton截骨或Salter截骨+股骨近端截骨的联合截骨治疗,行Pemberton截骨+股骨近端截骨29个髋关节，行股骨近端截骨32个髋关节，行Pemberton截骨2个髋关节，行Salter截骨2个髋关节，，对同期手术治疗双侧发育性髋关节的疗效进行回顾性的分析，进一步的阐明同期手术治疗双侧发育性髋关节的意义。结果：随访时间3个月~4年，根据周永德等的术后恢复参考标准，优17例，良5例，可2例，1例术后髋关节屈曲受限，关节轻度强直。髋臼指数由手术前30°~45°减少到手术后的15°~20°；前倾角由手术前45°~60°减少到手术后的15°~30°。结论：同期手术治疗小儿双侧发育性髋关节脱位，是一种有效的治疗小儿双侧发育性髋关节的方法，缩短整体治疗时间，有助于患儿术后髋关节功能锻炼。
[Abstract]:Objective: to analyze the surgical methods and results of simultaneous operation in the treatment of bilateral developmental dislocation of hip in children, and to evaluate the significance of the surgical method. Methods: 25 cases of children with bilateral developmental dislocation of hip were followed up by simultaneous operation. Pemberton osteotomy or Salter osteotomy combined with proximal femur osteotomy was used to treat 29 hip joints with Pemberton osteotomy, 32 hip joints with proximal femur osteotomy and 2 hip joints with Pemberton osteotomy. Salter osteotomy of two hip joints was performed to retrospectively analyze the effect of simultaneous operation on bilateral developmental hip joints, and to further clarify the significance of simultaneous surgical treatment of bilateral developmental hip joints. Results: the follow-up time was 3 months to 4 years. According to Zhou Yongde's standard of postoperative recovery, 17 cases were excellent, 5 cases were good, 2 cases were fair and 1 case had limited flexion of hip joint after operation. The acetabular index decreased from 30 掳to 15 掳/ 20 掳before operation and from 45 掳/ 60 掳to 15 掳/ 30 掳after operation. Conclusion: bilateral developmental dislocation of hip is treated by simultaneous operation. It is an effective method for the treatment of bilateral developmental hip joint in children. It can shorten the whole treatment time and help children to exercise hip joint function after operation.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R726.8

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