天津市10262名婴儿髋关节超声筛查结果及相关因素分析

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目的:了解天津市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(DDH)检出率,了解DDH发病相关因素,以便在母孕期和婴儿期开展早期预防,以降低整体人群DDH发病率和致残率。方法:对天津市10 262名6个月内婴儿进行髋关节超声检查和DDH相关因素进行流行病学调查。结果:超声筛查DDH检出率为0.8%,其中女婴DDH检出率显著高于男婴;臀位产婴儿髋关节超声筛查结果为可疑和异常的检出率均明显高于其他组;母孕期羊水少的婴儿髋关节超声筛查的异常检出率均明显高于其他组;生后双下肢包裹组婴儿髋关节超声筛查结果为可疑和异常的检出率均明显高于双下肢未包裹组婴儿。结论:婴儿性别、臀位产、母婴期羊水少、出后双下肢包裹的婴儿易发生髋关节发育不良。 OBJECTIVE: To understand the status of hip development in infants within 6 months in Tianjin and the detection rate of DDH in screening ultrasound to understand the related factors of DDH in order to prevent early stage in infants and infants, so as to reduce The overall population DDH morbidity and morbidity. Methods: The epidemiological investigation of HFB related factors and DDH in 10,226 infants aged 6 months in Tianjin was conducted. Results: The detection rate of DDH in ultrasound screening was 0.8%, and the detection rate of DDH in girls was significantly higher than that of baby boy. The detection rate of suspicious and abnormal in hip hip ultrasound screening was significantly higher than that in other groups ; The detection rate of abnormality of hip ultrasound in infants with low amniotic fluid during pregnancy was significantly higher than that in other groups; the detection rate of suspicious and abnormal ultrasound screening of infants with double lower extremities after birth was significantly higher than that of double Lower limbs not wrapped group of infants. Conclusion: Infant sex, breech birth, mothers and infants less amniotic fluid, after the birth of the lower limbs infants prone to hip dysplasia.
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