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发育性髋关节发育不良的早期筛查及保守治疗现状
引用本文:陈河舟.发育性髋关节发育不良的早期筛查及保守治疗现状[J].临床小儿外科杂志,2020,19(4):358-363.
作者姓名:陈河舟
作者单位:重庆医科大学附属儿童医院儿科研究所,儿童发育疾病研究教育部门重点实验室,儿童发育重大疾病国家国际科技合作基地,儿科学重庆市重点实验室,重庆医科大学附属儿童医院骨二科,重庆市,400014;电子科技大学医学院附属妇女儿童医院·成都市妇女儿童中心医院小儿外科,四川省成都市,610000
摘    要:发育性髋关节发育不良(developmental dysplasia of the hip,DDH)是小儿最常见的髋关节疾病。早期筛查是发育性髋关节发育不良诊治的重要环节,在日益成熟的筛查体系下,通过体格检查、超声检查及X线检查等方法可尽早明确诊断,为早期治疗提供条件。保守治疗适用于1.5岁以内的DDH患儿,包括佩戴髋关节外展支具和闭合复位。本文将围绕发育性髋关节发育不良的早期筛查和保守治疗的近期研究成果进行综述。

关 键 词:髋关节/生长和发育  筛查  保守治疗

Current status of early screening and conservative management of developmental dysplasia of the hip
Institution:(Institute of Pediatric Researches,Ministry of Education Key Laboratory of Children s Development&Disorders,National Clinical Research Center for Children s Health&Disorders,China International Science&Technology Cooperation Base of Children s Development&Critical Disorders,Chongqing Key Laboratory of Pediatrics,Department of OrthopedicⅡ,Affiliated Children s Hospital,Chongqing Medical University,Chongqing,China;Department of Pediatric Surgery,Municipal Women&Children s Central Hospital,School of Medicine,University of Electronic Science&Technology of China,Chengdu China.)
Abstract:Developmental dysplasia of the hip(DDH)is the most common congenital musculoskeletal abnormality of hip joint.Within the increasingly well-established screening system,more accurate and sensitive methods of physical examination,ultrasonography and radiography provide a possible early diagnosis.It is of vital importance for a prompt management of DDH.Conservative measures of abduction braces and closed reduction are recommended for children aged under 1.5 years.This review has summarized recent advances of screening and conservative treatment of DDH.
Keywords:Hip Joint/GD  Screening  Conservative Treatment
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