超声在小儿发育性髋关节异常筛查及吊带治疗中的应用

目的 探讨超声筛查小儿发育性髋关节异常(DDH)和在吊带治疗疗效评估方面的应用价值.方法 选取本院收治的DDH患儿68例为研究组,患儿初诊及吊带治疗后均行超声检查,另纳入同期疑似DDH经超声检查的正常小儿68例为对照组;对比初诊时2组骨顶角(α)、软骨顶角(β)的大小,统计研究组患儿的Graf分型结果,对比研究组吊带前...

Application of ultrasonography in screening and treatment of developmental hip joint abnormality in children

Objective To analyze the value of ultrasound screening for developmental dysplasia of hip(DDH)in children and to evaluate the efficacy of sling therapy.Methods We selected 68 DDH children admitted in our hospital from december 2017~december 2019 as the study group.All the children were examined by ultrasound after initial diagnosis and sling treatment,and 68 normal children suspected DDH ultrasound examination were included as the control group in the same period.We compared the size of bone apex angle(α)and cartilage apex angle(β)in the two groups at the time of initial diagnosis,compared the Graf classification results of the children in the study group,the difference between the anterior and posteriorα,βangles of the sling and the length of the midpoint interval between the medial margin of the left and right femoral head and the pubic joint(d),and analyzed the curative effect of the sling in the study group.Results Theαangle in the study group was smaller than that in the control group,and theβangle was larger(P<0.05).The study group had a total of 75 hip patients,22 in type II a,30 in type II b,9 in type II c,12 in type II,1 in type III and IV each.Theαangle was significantly larger,theβangle was significantly smaller,and the d value was also significantly smaller,the difference was statistically significant(P<0.05).69 patients with hip change to type I were treated with suspenders,with a cure rate of 92%.Conclusion Ultrasound not only plays an important role in the screening of developmental hip abnormalities in children,but also has high clinical significance in the follow-up monitoring of children after treatment with sling.