新生儿及婴儿发育性髋关节异常早期筛查及早期治疗的探讨

目的通过对新生儿及婴儿发育性髋关节异常的早期筛查，结合临床检查与超声检查诊断的评价，推动新生儿及婴儿发育性髋关节异常的早期诊治。方法对本院出生的1213例新生儿及866例年龄6个月以下婴儿进行临床及超声早期筛查（Graf方法），以明确诊断，及时治疗。结果新生儿早期疑诊45例，最终确诊5例，婴儿确诊3例，经用Pavlik吊带治疗6例痊愈，1例6个月后行闭合复位石膏固定治疗。结论新生儿期超声检查髋关节不稳定率偏高（Graflla型髋），发育性髋关节异常的早期筛查，特别是低于6个月的超声检查检出率高，各科医师合作有利于DDH的早期诊治。

The early diagnosis and treatment for newborns and infants with developmental dysplasia of the hip.

Objetive To explore the effect of early diagnosis and treatment for newborns and infants with developmental dysplasia of the hip（DDH） by methods of combined clinical and sonographic examination, in order to promotion early treatment of DDH. Methods 1 213 newborns and 866 infants were examined by both clinician and tdtrasonography, Hip joints were examined by Graf method. Pavlik method were given after definited DDH. Results 45 cases of newborns were suspected DDH at first, 5 cases were definited at last. 3 cases of infants were deflnited DDH at last. 6 cases of DDH were healed by Pavlik method, and one of DDH （GrafIV） was treated by cast afterwards. Conclusion The instability of the neonatal hip were maybe high by examinition of ultrasonography. Uhasonography was a good method for diagnosis DDH in infants. The co-oper- tion of distinct clinician was a useful method for early diagnosis and treatment of DDH.