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目的探讨超声检查技术在<6月龄婴儿的发育性髋关节异常(DDH)诊断中的应用价值。方法选择2009年12月至2012年12月来张家港市妇幼保健所体检的<6月龄婴儿9 266名共18 532个髋关节,对9 266名婴儿行Graf法静态髋关节超声筛查。结果超声波筛查9 266名婴儿,男婴4 706名,9 412个髋关节,占50.79%;女婴4 560名,9 120个髋关节,占49.21%。超声筛查GrafⅠ型17 353个髋关节,占93.64%;GrafⅡa型1 057个髋关节,占5.70%。GrafⅡb型91个髋关节,占0.49%。其中GrafⅡc型27个髋关节,占0.15%;GrafⅢ型、Ⅳ型4个髋关节,占0.02%。结论髋关节超声波检查技术是早期诊断DDH较为可靠的方法,是监测和指导DDH治疗与随访的主要影像技术。
Objective To investigate the value of ultrasonography in the diagnosis of developing hip dysfunction (DDH) in infants <6 months old. Methods A total of 18 532 hips of 9 266 infants <6 months old who were examined in Zhangjiagang MCH from December 2009 to December 2012 were screened by Graf static hip ultrasound for 9 266 infants. Results Ultrasound screened 9,266 infants, 4,706 infants and 9,412 hip joints, accounting for 50.79%; 4,605 infants and 9,122 hip joints, accounting for 49.21%. There were 17 353 Hip Sclerosis GrafⅠs, accounting for 93.64%, and GrafⅡa 1 057 hips accounting for 5.70%. Graf Ⅱ b type 91 hips, accounting for 0.49%. GrafⅡc type of 27 hips, accounting for 0.15%; Graf Ⅲ type, Ⅳ type 4 hip, accounting for 0.02%. Conclusion Hip ultrasonography is a reliable method for the early diagnosis of DDH and is the main imaging technique for monitoring and guiding the treatment and follow-up of DDH.