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ID:5313519
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时间:2017-12-07
《超声检查在婴幼儿发育性髋关节异常诊断中的应用价值》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、南昌大学学报(医学版)2013年第53卷第9期JournalofNanchangUniversity(MedicalSciences)2013,Vo1.53No.9超声检查在婴幼儿发育性髋关节异常诊断中的应用价值俞波,侯艳青,严济泳(江西省儿童医院超声室,南昌330006)摘要:目的评估超声检查在诊断婴幼儿发育性髋关节异常(DDH)中的应用价值。方法按Graf方法对100个正常婴儿髋关节及100个临床疑似DDH患儿进行扫查,观察髋臼窝骨性结构外形、髋臼骨性缘、髋臼软骨纤维盂唇的形态,测量髋关节a角、8角和股骨头骨性髋臼覆盖率(MR)。结果超声可以
2、清晰地显示髋关节的股骨头软骨、髋臼软骨、关节囊和关节盂唇等解剖结构。200个髋关节中髋正常(一164)者a角、口角和MR分别为(62.3±3.8)。、(45.7±5.9)。和(61.2±5.1);髋异常(,2—36)者a角、8角和MR分别为(49.5±6.3)。、(55.3±9.1)。和(41.6±9.5),两者比较差异均有统计学意义(均P3、726.8;R445.1文献标志码:A文章编号:2095—4727(2013)09—0009—03ValueofUltras0n0graphyinDiagnosisofDevelopmentalHipDysplasiainInfantsandYoungChildrenYUBo,HOUYan’qing,YANJi—yong(DepartmentofUltrasound,Children’SHospitalofJiangxiProvince,Nanchang330006,China)ABSTRACT:ObjectiveToevaluatetheval4、ueofultrasonographyinthediagnosisofdevelopmen—taldysplasiaofthehip(DDH)ininfantsandyoungchildren.MethodsAccordingtoGrafmeth—od,100normalinfanthipsand100clinicallysuspectedcasesofDDHwerescannedtoobserveOS—seousstructureofacetabularfossa,osseousmarginandacetahularcartilagefiber5、glenoidlabrumshapeandtomeasurehipaangle,Bangleandpercentagecoveroffemoralhead(MR).ResultsTheultrasoundclearlyshowedfemoralheadcartilage,acetabularcartilage,jointcapsule,glenoidlabrumandotheranatomicalstructures.Ofthe200hips,164werenorma1.Theaangle,BangleandMRwere(62.3±3.8)。,(6、45.74-5.9)。and(61.2±5.1),respectively.DDHwasfoundin36hips.Thedangle,BangleandMRwere(49.5±6.3)。,(55.3±9.1)。and(41.6±9.5),re—spectively.Thedifferencewasstatisticallysignificant(P<0.05).ConclusionTheultrasonicmeasurementofhipaangle,8angleandMRissafe,convenientandpracticalandprov7、idestheba—sisfortheearlydiagnosisofinfantileDDH.Therefore,u1trasonographycanbeusedasanauxilia—rydiagnosticmethodforDDH.KEYWORDS:developmentalhipdysplasia;ultrasonography;earlydiagnosis;infantsandyoungchildren发育性髋关节异常(developmentaldysplasiaDDH)也称先天性髋关节脱位(congenitaldisplace一收稿日8、期:2013—07—19基金项目:江西省科技厅科技成果推广计划(2007012)作者简介:俞波(1969-),女,学士,主任医师,主要从
3、726.8;R445.1文献标志码:A文章编号:2095—4727(2013)09—0009—03ValueofUltras0n0graphyinDiagnosisofDevelopmentalHipDysplasiainInfantsandYoungChildrenYUBo,HOUYan’qing,YANJi—yong(DepartmentofUltrasound,Children’SHospitalofJiangxiProvince,Nanchang330006,China)ABSTRACT:ObjectiveToevaluatetheval
4、ueofultrasonographyinthediagnosisofdevelopmen—taldysplasiaofthehip(DDH)ininfantsandyoungchildren.MethodsAccordingtoGrafmeth—od,100normalinfanthipsand100clinicallysuspectedcasesofDDHwerescannedtoobserveOS—seousstructureofacetabularfossa,osseousmarginandacetahularcartilagefiber
5、glenoidlabrumshapeandtomeasurehipaangle,Bangleandpercentagecoveroffemoralhead(MR).ResultsTheultrasoundclearlyshowedfemoralheadcartilage,acetabularcartilage,jointcapsule,glenoidlabrumandotheranatomicalstructures.Ofthe200hips,164werenorma1.Theaangle,BangleandMRwere(62.3±3.8)。,(
6、45.74-5.9)。and(61.2±5.1),respectively.DDHwasfoundin36hips.Thedangle,BangleandMRwere(49.5±6.3)。,(55.3±9.1)。and(41.6±9.5),re—spectively.Thedifferencewasstatisticallysignificant(P<0.05).ConclusionTheultrasonicmeasurementofhipaangle,8angleandMRissafe,convenientandpracticalandprov
7、idestheba—sisfortheearlydiagnosisofinfantileDDH.Therefore,u1trasonographycanbeusedasanauxilia—rydiagnosticmethodforDDH.KEYWORDS:developmentalhipdysplasia;ultrasonography;earlydiagnosis;infantsandyoungchildren发育性髋关节异常(developmentaldysplasiaDDH)也称先天性髋关节脱位(congenitaldisplace一收稿日
8、期:2013—07—19基金项目:江西省科技厅科技成果推广计划(2007012)作者简介:俞波(1969-),女,学士,主任医师,主要从
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