软石膏治疗六月龄前髋关节发育不良的效果研究
发布时间：2019-03-18 14:05
【摘要】：目的:随访总结软石膏应用于闭合复位髋人位石膏固定法治疗六月龄前髋关节发育不良患儿的疗效及预后情况,评估其应用价值。方法:收集2011~2015年在我院治疗的共22例六月龄前DDH住院病例,均采用闭合复位髋人位石膏固定治疗。长期随访其预后情况并应用Mckay功能评定标准和Severin评分标准对患儿的髋关节功能和影像学资料进行评估。同时对患儿末次随访时的年龄、髋臼指数、有无并发症的发生等进行分析。结果:经10个月至32个月不等的随访,平均随访时间为18月,22例25髋最终均达到Mckay功能评定标准优级标准;21例24髋达到Severin评分标准优级标准,1例1髋达到Severin评分标准良级标准,优良率100%,其中优95.5%,良4.5%;且22例患儿经治疗后末次随访时髋臼指数均将至正常水平,无一例后期须行骨性手术,且石膏固定期间无一例发生石膏压疮、股骨头缺血性坏死(AVN)。结论:闭合复位髋人位软石膏固定是治疗六月龄前髋关节发育不良患儿的一种切实有效的方法,其临床随访疗效及预后令人满意,且能有效减少石膏压疮、股骨头缺血性坏死等并发症的发生,值得推广使用。
[Abstract]:Aim: to evaluate the efficacy and prognosis of anhydrite in the treatment of 6-month-old children with hip dysplasia. Methods: 22 cases of DDH before 6 months of age were treated in our hospital from 2011 to 2015. All patients were treated with closed reduction and hip plaster fixation. The prognosis was followed up for a long time and the hip joint function and imaging data were evaluated by Mckay and Severin scoring criteria. At the same time, the age, acetabular index and complications of the last follow-up were analyzed. Results: after 10 months to 32 months follow-up, the average follow-up time was 18 months, 22 cases (25 hips) finally reached the Mckay functional evaluation standard. Twenty-one cases (24 hips) reached the Severin score standard, and one case (1 hip) reached the Severin score standard. The excellent and good rate was 100%, among which the excellent rate was 95.5% and the good was 4.5%. The acetabular index would reach normal level at the last follow-up of 22 cases after treatment, none of them needed bony operation at the later stage, and none of them had plaster pressure sore and avascular necrosis of the femoral head (AVN).) during the plaster fixation period. Conclusion: hip anhydrite fixation with closed reduction is a practical and effective method for the treatment of 6-month-old children with hip dysplasia. The clinical follow-up results and prognosis are satisfactory, and it can effectively reduce plaster pressure sores. The occurrence of complications such as avascular necrosis of the femoral head is worth popularizing and using.
【学位授予单位】：苏州大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R726.8
本文编号：2442935
[Abstract]:Aim: to evaluate the efficacy and prognosis of anhydrite in the treatment of 6-month-old children with hip dysplasia. Methods: 22 cases of DDH before 6 months of age were treated in our hospital from 2011 to 2015. All patients were treated with closed reduction and hip plaster fixation. The prognosis was followed up for a long time and the hip joint function and imaging data were evaluated by Mckay and Severin scoring criteria. At the same time, the age, acetabular index and complications of the last follow-up were analyzed. Results: after 10 months to 32 months follow-up, the average follow-up time was 18 months, 22 cases (25 hips) finally reached the Mckay functional evaluation standard. Twenty-one cases (24 hips) reached the Severin score standard, and one case (1 hip) reached the Severin score standard. The excellent and good rate was 100%, among which the excellent rate was 95.5% and the good was 4.5%. The acetabular index would reach normal level at the last follow-up of 22 cases after treatment, none of them needed bony operation at the later stage, and none of them had plaster pressure sore and avascular necrosis of the femoral head (AVN).) during the plaster fixation period. Conclusion: hip anhydrite fixation with closed reduction is a practical and effective method for the treatment of 6-month-old children with hip dysplasia. The clinical follow-up results and prognosis are satisfactory, and it can effectively reduce plaster pressure sores. The occurrence of complications such as avascular necrosis of the femoral head is worth popularizing and using.
【学位授予单位】：苏州大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R726.8
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