儿童脑瘫性髋关节疾病的外科治疗与结果评价CSCD

儿童脑瘫性髋关节疾病通常需要手术治疗,手术方式包括预防性、重建性和补救性手术三种。手术的目的是防止股骨头向外侧移位,重建半脱位及脱位髋关节的稳定,消除不可重建髋关节脱位导致的持续性疼痛,进而改善患儿行走功能,方便不具站立及行走能力患儿的会阴部护理。本文通过系统复习新近相关文献,重点阐述儿童脑瘫性髋关节疾病各种手术方式的适应证、操作要点以及临床与X线评价结果、远期随访结果。

Surgical treatments and outcome evaluations of hip disease in children with cerebral palsyCSCD

Children with cerebral palsy hip disease generally require surgical interventions, including preventive, reconstructive and salvage surgery. The operative goals are to prevent lateral displacement of femoral head,reconstruct the stabilities of subluxation and dislocated hip joint,eliminate persistent pain caused by irre ducible hip joint dislocation and then improve walking function so as to facilitate perineal nursing of children without standing and walking ability. By systematically reviewing the latest relevant literature, this review fo cused upon the indications, operative essentials, clinical and radiological findings and long-term follow-ups of various surgical approaches for cerebral palsy hip diseases in children. © 2022, Science and Technology Association of Hunan Province. All rights reserved.