小儿髋关节超声检查及干预措施的研究分析

发布时间：2018-02-04 21:40

  本文关键词： 超声检查 诊断 髋关节 新生儿 干预　出处：《中国矫形外科杂志》2015年01期 　论文类型：期刊论文

【摘要】：[目的]运用Graf法对小儿髋关节进行超声检查并分类,针对不同类型小儿髋关节采取不同干预方式,评价干预效果,以避免过度治疗发生。[方法]2011年2~3月,对112名小儿双侧髋关节进行超声检查,112名小儿均未发现内外科疾患,其中男64名,女48名。采用Graf法检查并记录测量结果。对于60°α角≥43°髋关节均进行不同程度的干预;43°α角髋关节立即给予Pavlik吊带治疗并2周复查1次。4周后进行超声复查,记录测量结果并进行统计分析。[结果]新生儿期,α角及β角均呈正态分布。α角可信区间为(59.67±0.41)°,β角可信区间为(71.78±0.61)°。两组为负相关(r=-0.46,P0.01)。针对α角55°髋关节4周后进行复查,α角明显增大(P=0.00,t=-7.60),β角减小(P=0.00,t=4.10)。Ⅲ、Ⅳ型髋关节给予Pavlik吊带治疗后,髋关节病理状况明显改善。[结论]针对小儿髋关节超声检查结果采用不同程度的护理及治疗,可以阻止小儿髋臼异常发育,避免过度治疗。
[Abstract]:[Objective: to evaluate the effect of different types of hip joint intervention in order to avoid overtreatment by using Graf method to detect and classify the hip joint in children. [Methods: from 2011 to March, 112 children with bilateral hip joint were examined by ultrasound. No internal and surgical diseases were found in 112 children, including 64 males. 48 women were examined by Graf method and the results were recorded. All hip joints with 60 掳伪 angle 鈮，

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