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目的:探讨使用三联术治疗发育性髋关节脱位的方法及疗效。方法:2002年5月~2007年8月,采用三联术治疗发育性髋关节脱位76例(105髋),男9例,女67例;年龄1~5.5岁(平均2.7岁),手术方式全部采用三联术,分别于术后5周、3个月、6个月随访,以后每年随访1次,对髋关节功能(Mckay标准)和X线片(Severin标准)进行复查。结果:7例失访,余69例(96髋)获3~8年随访(平均4.7年)。按Mckay标准评定髋关节功能,术后优良率达95.83%。按Sever-in标准评定X线表现,术后优良率达93.75%。结论:三联术手术疗效满意,为治疗儿童发育性髋关节脱位的一种有效术式。
Objective: To explore the use of triple therapy for the development of dislocation of the hip method and efficacy. Methods: From May 2002 to August 2007, 76 cases (105 hips) of developmental dislocation of the hip were treated with triple therapy. There were 9 males and 67 females, aged from 1 to 5.5 years (average 2.7 years) and all the surgical procedures The patients were followed up for 5 weeks, 3 months and 6 months respectively after operation. The patients were followed up once a year for reviewing the function of the hip (Mckay standard) and X-ray (Severin standard). Results: Seven patients were lost and 69 patients (96 hips) were followed up for 3 to 8 years (average 4.7 years). According to Mckay standard hip function, postoperative excellent and good rate was 95.83%. According to Sever-in standard assessment of X-ray performance, postoperative excellent and good rate of 93.75%. Conclusion: The triad operation is satisfactory, which is an effective method for the treatment of developing hip dislocation in children.