Pemberton髋臼成形术治疗学龄前儿童发育性髋关节发育不良疗效研究

发布时间：2018-03-22 23:03

  本文选题：学龄前儿童　切入点：髋发育不良　出处：《重庆医科大学》2013年硕士论文　论文类型：学位论文

【摘要】：目的探讨Pemberton髋臼成形术治疗学龄前儿童发育性髋关节发育不良（Developmental Dysplasia of the Hip，DDH）的适应症及优缺点。 方法采用Mckay[1]临床评价标准和髋臼指数（acetabular index,AI）矫正值，随访重庆医科大学附属儿童医院2008年-2011年采用Pemberton髋臼成形术和Salter骨盆截骨术治疗的学龄前儿童DDH中的67例（88髋）。Pemberton髋臼成形术组，52例(68髋)，术前AI＜45°有53髋，术前AI≥45°有15髋；髋臼发育不良和髋关节半脱位有15髋，，髋关节脱位有53髋。Salter骨盆截骨术组，15例20髋，术前AI均小于45°；髋臼发育不良和髋关节半脱位有8髋，髋关节脱位有12髋。 结果随访1-3年，平均2年，术前AI＜45°时，Pemberton髋臼成形术和Salter骨盆截骨术，均获得良好临床效果，两术式矫正髋臼指数无明显差异。术前AI＜45°和术前AI≥45°时，Pemberton髋臼成形术均获得良好临床效果；Pemberton髋臼成形术术前AI≥45°组手术矫正AI值明显大于Salter骨盆截骨术组，Pemberton髋臼成形术对于术前AI≥45°需矫正髋臼指数较大的病例具有良好效果，AI矫正明显优于Salter骨盆截骨术。髋臼发育不良、髋关节半脱位组和髋关节脱位组，采用Pemberton髋臼成形术及Salter骨盆截骨术，均获得良好临床效果。 结论Pemberton髋臼成形术适应症较Salter骨盆截骨术适应症更加广泛，创伤更小，对骨盆形状及容积影响小，手术效果良好，可作为学龄前儿童DDH的首选截骨方式之一。
[Abstract]:Objective to investigate the indications, advantages and disadvantages of Pemberton acetabular angioplasty in the treatment of developmental Dysplasia of the hip dysplasia in preschool children. Methods Mckay [1] clinical evaluation criteria and acetabular index (acetabular index) were used. From 2008 to 2011, 67 preschool children with DDH treated with Pemberton acetabular plasty and Salter pelvic osteotomy were followed up in Chongqing Medical University affiliated Children's Hospital. In 67 cases of DDH, 88 hips were treated with Pemberton acetabular angioplasty, 52 cases with 68 hips with AI < 45 掳, 53 hips with preoperative AI 鈮

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