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目的了解伊犁州6个月内婴儿髋关节发育状况和超声筛查发育性髋关节发育不良(developmental dysplasia of hip,DDH)检出率,探讨DDH发病相关因素,为早期干预提供依据。方法对2011年4月-2012年4月在本院儿保科体检的6个月内婴儿1 862例(共计髋关节3 724个)进行常规髋关节物理检查和超声筛查,并对DDH相关因素进行流行病学调查,同时对筛查检出的异常病例积极个体化干预治疗。结果超声筛查出髋关节异常37例(共计50个髋关节),DDH检出率为1.3%,女婴发生率高于男婴,比例为2∶1,哈萨克族、维吾尔族DDH检出率明显高于回族、汉族(4∶1);对不同类型病例积极采取个体化治疗后,均恢复正常。结论不同性别、民族DDH检出率不同,出后双下肢包裹的婴儿易发生髋关节发育不良;开展婴幼儿DDH早期筛查,对不利因素早期干预,并对DDH患儿进行早期个体化干预治疗具有重要的意义。
Objective To understand the status of hip joint development in infants and the detection rate of developmental dysplasia of hip (DDH) in 6 months in Yili Prefecture, and to explore the related factors of DDH in order to provide basis for early intervention. Methods From January 2011 to April 2012, 1 862 infants (3 724 total hip joints) in infants undergoing physical examination in our hospital underwent physical examination and ultrasound screening of the hip joint in 6 months. The related factors of DDH Conduct epidemiological investigations, at the same time positive individualized screening intervention for the detection of abnormal cases of treatment. Results Thirty-seven cases of hip joint abnormalities (total of 50 hip joints) were detected by ultrasonography. The detection rate of DDH was 1.3%, the incidence of female infant was higher than that of male infant, the ratio was 2:1. The detection rate of DDH in Kazakh and Uighur Significantly higher than the Hui and Han nationality (4: 1). After taking individualized treatment for different types of cases, they all returned to normal. Conclusions The detection rates of DDH in different sexes and ethnic groups are different. Hip dysplasia is likely to happen in infants with double lower extremity after the extubation. Early screening of DDH in infants and young children and early intervention of unfavorable factors are carried out, and early individualized treatment of DDH children It is of great significance.