中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (52): 9851-9854.doi: 10.3969/j.issn.1673-8225.2011.52.037

• 骨与关节综述 bone and joint review • 上一篇    下一篇

发育性髋关节发育不良

李卫平，王华明   

  1. 甘肃省中医院小儿骨科，甘肃省兰州市    730050
  • 收稿日期:2011-07-08 修回日期:2011-10-20 出版日期:2011-12-24 发布日期:2011-12-24
  • 通讯作者: 王华明，在职硕士，主治医师，甘肃省中医院小儿骨科，甘肃省兰州市730050 whmyj78@yahoo.com.cn
  • 作者简介:李卫平，男，1966年生，甘肃省环县人，汉族，1990年甘肃省中医学院毕业，主任医师，硕士生导师，主要从事儿童发育性髋关节脱位研究。 whmyj78@163.com

Developmental dysplasia of the hip

Li Wei-ping, Wang Hua-ming   

  1. Department of Pediatric Orthopedics, Chinese Medicine Hospital of Gansu Province, Lanzhou  730050, Gansu Province, China
  • Received:2011-07-08 Revised:2011-10-20 Online:2011-12-24 Published:2011-12-24
  • Contact: Wang Hua-ming, Master, Attending physician, Department of Pediatric Orthopedics, Chinese Medicine Hospital of Gansu Province, Lanzhou 730050, Gansu Province, China whmyj78@yahoo.com.cn
  • About author:Li Wei-ping, Chief physician, Master’s supervisor, Department of Pediatric Orthopedics, Chinese Medicine Hospital of Gansu Province, Lanzhou 730050, Gansu Province, China whmyj78@163.com

PDF

946

摘要：

背景：发育性髋关节发育不良这一术语已经取代先天性髋关节脱位，因为它更能准确地反映导致未成熟髋部畸形形成所有范畴。
目的：就发育性髋关节发育不良特性、危险因素以及治疗手段的研究进展进行综述。
方法：由第一作者应用计算机检索PubMed数据库及中国期刊网全文数据库2006-01/2011-09有关发育性髋关节发育不良诊断、临床筛查、体格检查、物理检查及治疗等方面的文章，英文检索词为“developmental dysplasia of the hip，examination, treatment”，中文检索词为“发育性髋关节发育不良，检查，治疗”。排除重复性研究，共保留27篇文献进行综述。
结果与结论：发育性髋关节发育不良判断危险因素包括臀先露和家族史，本病诊断是建立在医生体格检查的基础上。髋关节的不稳定、双下肢不等长及大腿皮肤皱褶不对称均可出现在新生儿发育性髋关节脱位的病例中；然而步态不稳及髋关节外展活动受限在大龄儿童更为常见。超声波扫描技术检查存在着一定的争议，然而一旦诊断确立后通常可以用来验证和评估髋关节的发育情况。支具相对于6个月以下的儿童而言是最重要的治疗手段；手术适应于超过6个月的患儿保守治疗失败。早期诊断髋关节发育不良对于改善治疗结果非常重要，同时降低了并发症发生的风险。

关键词: 发育性髋关节发育不良, 诊断, 临床筛查, 体格检查, 治疗

Abstract:

BACKGROUND: Developmental dysplasia of the hip (DDH) has replaced the term congenital dislocation of the hip, because the DDH can more accurately reflect all category of leading to immature hip deformity.
OBJECTIVE: To review research progress of characteristics, risk factors and research methods of the DDH.
METHODS: The articles related to diagnosis, clinical screening, medical examination, physical examination and treatment of DDH from PubMed and Chinese journal full-text databases between January 2006 and September 2011 were retrieved by the computer with the key words of “developmental dysplasia of the hip, examination and treatment” in English and “the developmentally hip dysplasia, check, treatment” in Chinese. Repetitive researches were excluded, and a total of 27 articles were summarized in this paper.
RESULTS AND CONCLUSION: Hip judge risk factors of the DDH includes first exposed and family history, the disease diagnosis is built on the basis of the physical examination. Hip instability, limbs length discrepancy and thigh skin creases asymmetric all can appear in neonatal developmentally dislocation of the hip cases. However unsteady gait and hip outreach are limited in older children becomes more common. Ultrasonic scanning technology inspection exists certain controversial, however, once the diagnosis establishes usually can be used to test and evaluate the development conditions of the hip. Orthosis is the most important means for children under six months. Surgery treatment is suitable for children aged more than 6 months undergoing unsuccessful conservative treatment. Early diagnosis of DDH is very important to improve the treatment, and reduce the risk of complications.

中图分类号: