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总结和探讨不同方法的手术治疗学龄儿童发育性髋关节脱位的经验。方法:采用Salter法,Chiari法,髋臼加盖成形术和联合手术共治疗6岁半~13岁患者56例70个髋关节。结果:48例60个髋关节获随访,时间5~25年,平均10.4年。优良率为87%。结论:学龄儿童患者的手术应根据每人的具体病理情况严格掌握手术适应证,针对性极强地选择术式。其中,髋臼加盖成形术有效地增加了髋臼的宽度,很好地解决了股骨头的包容和覆盖,手术不用内固定,可使患者免受二次手术取除内固定之苦,是一种适应证较宽,疗效好和值得提倡的手术。
To summarize and discuss the experience of different methods of surgical treatment of developmental hip dislocation in school-age children. Methods: Salter method, Chiari method, acetabular capping technique and combined surgery were used to treat 56 patients with 70 hip joints in 6 years old to 13 years old. Results: 48 cases of 60 hips were followed up for 5 to 25 years with an average of 10.4 years. Excellent rate of 87%. Conclusion: The operation of patients in school-age children should be based on the specific pathology of each person to strictly control the surgical indications, highly targeted surgical selection. Among them, acetabular capping surgery effectively increases the width of the acetabulum, a very good solution to the tolerance and coverage of the femoral head, surgery without internal fixation, patients can be removed from secondary fixation of internal fixation is A wide range of indications, effective and worthwhile to promote surgery.