联合术式治疗儿童发育性髋关节脱位的临床研究

《联合术式治疗儿童发育性髋关节脱位的临床研究》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、·提要目的：探讨一种联合术式治疗儿童发育性髋关节脱位(DDH)，观察其临床效果，并对相关问题进行讨论。方法：选择合适病例，行联合术式(髋关节切开复位、转子下旋转短缩内翻截骨、改良Pemberton髋臼成形术)并辅以术后功能锻炼。按周永德、吉士俊提出的DDH疗效评定标准对术后功能、X光片及三维CT表现进行评定。分析出现术后并发症的原因，总结治疗经验。结果：91例115髋应用联合术式治疗的DDH患儿当中，84髋为优（30-26分），16髋为良（25-21分），13髋为可(20-16分)，2髋为差（15-11分），优良率为86.95%。结论：联合术式是治疗儿童发育性髋关节脱位的有效、可靠方

2、法，能彻底松解髋臼内、外病变的软组织，纠正髋臼及股骨畸形，恢复髋关节正常的解剖结构。正确的手术操作及术后处理是治疗的关键，能有效的减少术后并发症。关键词临床研究；联合术式；发育性髋关节脱位；儿童···ClinicalResearchForTheCombinedArthroplastyTreatingOfDevelopmentalDislocationOfHipInChildrenSpeciality：OrthopaedicsofTCMAuthor:JuFengTutor:Prof.LiLiAbstractObjective:Toexploreaunitedarthroplastyof

3、treatingDevelopmentalDislocationoftheHip(DDH),toobservetheclinicaleffectandtodiscusssomerelatedproblems.Method:WetakemodifiedPembertonarthroplastytreatmentcombinedwithSubtrochantericRotationShorteningandvarusOsteotomy,dissectionanddiaplasiswhichisassistedwithfunctiontrainingonselectedcases.Byco

4、nductingtheclinicalresearch,weanalyzethecausesofcomplicationsandsumuptheexperienceafterevaluatingpostoperativefunctionandimagingmanifestationsaccordingtostandardofperfectionputforwardbyZhouYongdeandJiShijun.Results:Amongthe115hips(91DDHpatients)thatreceivedunitedarthroplastytreatment,thereare84

5、casesevaluatedexcellent(scoresof30-26),16fine(scoresof25-21),13passing(scoresof20-16)and2failure(scoresof15-11).Theexcellentandfinerateis86.95％.Conclusions:TheunitedarthroplastytreatmentisaneffectiveandreliablemethodontreatingDevelopmentalDislocationoftheHip(DDH).Itcancompletelyreleaseacetabulu

6、m,correctdeformityofhipjointandrestorehipanatomy.Therightsurgicalopreationandpostopreativetreatmentarecrucialtothesatisfyingclinicalcurativeeffectandthereductionofthepostoperativecomplications.KeyWordsClinicalresearch；Unitedarthroplasty;DevelopmentalDislocationoftheHip(DDH)；Children···目录引言.....

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