中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (9): 1650-1653.doi: 10.3969/j.issn.1673-8225.2011.09.032

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

超声测量髂臼软骨厚度及评价儿童发育性髋关节异常的价值

李  娜   

  1. 海南省海口市人民医院超声科，海南省海口市570208
  • 收稿日期:2010-12-10 修回日期:2011-01-15 出版日期:2011-02-26 发布日期:2011-02-26
  • 作者简介:李娜，女，1973年生，海南省万宁市人，汉族，2007年海南医学院毕业，主治医师，主要从事超声诊断的研究。 1897687699@189.cn

Value of ultrasonometry of acetabular cartilage thickness in the evaluation of infant developmental dysplasia of the hip

Li Na   

  1. Department of Ultrasonography, Haikou People’s Hospital, Haikou   570208, Hainan Province, China
  • Received:2010-12-10 Revised:2011-01-15 Online:2011-02-26 Published:2011-02-26
  • About author:Li Na, Attending physician, Department of Ultrasonography, Haikou People’s Hospital, Haikou 570208, Hainan Province, China 18907687699@189.cn

PDF

578

被引次数

32

摘要：

背景：熟悉发育性髋关节异常的分类、各自特点，以及超声检查在早期筛选、早期诊断发育性髋关节异常的优势，对于超声诊断发育性髋关节异常的合理选择是十分必要的。
目的：对儿童发育性髋关节异常的分类、性质及超声检查技术与临床体格检查、放射学检查相结合在该病的早期诊断和早期治疗的应用进行归纳总结。
方法：应用计算机检索PubMed数据库及CNKI数据库，在标题和摘要中以“发育性髋关节异常，超声检查，髋关节”或“developmental dysplasia of the hip，uhrasonography”为检索词进行检索。选择文章内容与发育性髋关节异常的类型、临床特点、及超声检查技术对该病的早期治疗应用效果相关，同一领域文献则选择近期发表或发表在权威杂志文章。根据纳入标准选择28篇文献用于进行综述。
结果与结论：超声能清晰地显示髋关节周围的软骨及软组织结构，可以直接观察软骨性股骨头与髋臼的相对关系，及股骨头软骨和盂唇的形态、结构的改变，并能显示部分髋臼内软组织，能补充X射线或CT不能显示的部分信息。与普通髋关节前后位X射线平片相比，超声图像是断面图像，可避免普通X射线图像因结构重叠及投照角度问题而引起的漏诊与误诊。总之，高频超声诊断婴幼儿发育性髋关节发育不良具有很高的临床实用价值，可以作为一种常规的检查方法。

关键词: 发育性髋关节异常, 超声检查, 髋关节, 儿童, 诊断

Abstract:

BACKGROUND: A better understanding of classification and features of developmental dysplasia of the hip (DDH), as well as the advantages of early screening and diagnosis, are necessary for correct selection of ultrasonic diagnosis.
OBJECTIVE: To summary the classification, features of DDH, and the combination of ultrasonic inspection, clinical examination and radiography in early diagnosis and treatment for DDH.
METHODS: A computer-based online search was performed on PubMed and CNKI with search words of “developmental dysplasia of the hip and uhrasonography” both in English and Chinese. Articles addressing classification and features of DDH or the clinical outcomes of ultrasonic inspection in the treatment of DDH were selected. Literatures about the same circle published in the near future or on the authoritative journals were included. Totally 28 papers were selected in this review.
RESULTS AND CONCLUSION: Ultrasound can display the cartilage and soft tissue structures surrounding hip joint clearly, present the relative position of femoral head and acetabulum, as well as the morphology and structure changes of femoral head cartilage and glenoid labrum, in addition, it can show parts of soft tissues within acetabulum and supplement information that cannot be displayed by X-ray film or CT. Ultrasonic image is sectional view, compared with X-ray film, it can avoid missed diagnosis or diagnostic errors that caused by structure overlapping or projection angles. On the whole, ultrasonometry possesses highly clinical value in diagnosing infant DDH, which can be used a conventional examination method.

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