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目的探讨开展婴幼儿发育性髋关节发育不良(DDH)的早期筛查和治疗的意义。方法选取2010年4月-2011年10月在本院进行婴幼儿体检时发现以大腿皮纹不对称为主要临床表现的18个月以下婴幼儿1 429例(男684例,女745例)进行严格的分组后,采用影像学检查方法对病例资料进行分析;同时对筛查检出的异常病例积极进行早期个体化干预治疗。结果初诊0～6个月婴儿检出的髋关节异常率为2.4%,对异常病例积极应用pavlik吊带保守治疗平均4个月后,治愈率达98.1%;初诊6～12个月婴儿检出的髋关节异常率为5.9%,早期应用个体化的治疗方法进行保守治疗,治愈率为64.7%;初诊年龄12～18个月的婴儿检出的髋关节异常率为52.9%,应用个体化方案保守治疗后,髋关节复位效果不满意,需要进一步行手术治疗。结论开展婴幼儿DDH早期筛查,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 explore the significance of early screening and treatment of developing hip dysplasia (DDH) in infants and young children. Methods From April 2010 to October 2011, 1 429 infants (684 males and 745 females) aged less than 18 months who were found to have asymmetric thigh dermatoglyphics as the main clinical manifestations were examined at our hospital for infants and young children from April 2010 to October 2011. Strict grouping, the use of imaging methods to analyze the case data; the same time, the detection of abnormal cases of positive early individualized intervention. Results The incidence of hip joint abnormalities was 2.4% in infants from 0 to 6 months after initial diagnosis, and pavlik straps were conservatively treated for 4 months on average after an average of 4 months. The cure rate was 98.1%. The newly diagnosed infants aged 6 to 12 months The abnormal rate of hip joint was 5.9%. Early use of individualized treatment for conservative treatment, the cure rate was 64.7%; newly diagnosed infants aged 12 to 18 months, the incidence of hip joint abnormalities was 52.9%, the use of individualized program conservative After treatment, hip replacement effect is not satisfied, need further surgical treatment. Conclusion It is of great significance to carry out early screening of DDH in infants and young children and early individualized treatment of DDH in children.