论文部分内容阅读
[目的]总结12～18个月龄发育性髋关节脱位(developmental dislocation of the hip,DDH)患儿手术治疗的临床和影像学方面的结果,研究早期手术治疗的可行性。[方法]回顾性分析本院在2004～2006年年龄为12～18个月发育性髋关节脱位患儿采用手术治疗的59例72髋临床资料,其中男8例,女51例,左侧27例,右侧19例,双侧13例。手术方式:切开复位加Salter骨盆截骨53髋;切开复位加Pemberton骨盆截骨19髋。[结果]平均随访50个月,术后按改良的McKay标准进行临床评估;按Severin标准进行放射学评估;按Salter标准诊断有无股骨头缺血性坏死。SeverinX射线评分优良率为94.4%,McKay临床评估优良率为93%。按Salter标准有2髋(2.8%)发生股骨头缺血性坏死(avascular necrosis of the femoral head,AVN)。[结论]不必过分强调小年龄DDH患儿的保守治疗,放宽手术指征,早期手术治疗是可行的。
[Objective] To summarize the clinical and imaging findings of surgical treatment of children with developmental dislocation of the hip (DDH) between 12 and 18 months of age and to investigate the feasibility of early surgical treatment. [Methods] The clinical data of 59 patients (72 hips) treated by operation in children aged 12-18 months with developmental dislocation of hip from 2004 to 2006 were retrospectively analyzed. There were 8 males and 51 females, the left 27 For example, the right side in 19 cases, both sides in 13 cases. Surgical procedures: Open reduction plus Salter pelvic osteotomy 53 hips; open reduction plus Pemberton pelvic osteotomy 19 hips. [Results] The patients were followed up for an average of 50 months. The clinical evaluation was performed according to the modified McKay standard. The radiological evaluation was performed according to the Severin standard. The diagnosis of avascular necrosis of the femoral head was performed according to the Salter standard. Severin X-ray score excellent rate of 94.4%, McKay clinical evaluation of excellent rate of 93%. According to the Salter standard, 2 hips (2.8%) developed avascular necrosis of the femoral head (AVN). [Conclusion] It is not necessary to overemphasize the conservative treatment of children with DDH at a younger age, to relax the indications for surgery, and early surgical treatment is feasible.