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目的:分析宁波市江东区婴幼儿发育性髋关节发育不良(DDH)超声筛查情况。方法:选择宁波市江东区妇幼保健院进行婴幼儿健康体检的6个月内婴幼儿1 847例(3 692个髋关节)进行超声检查,其中男性978例,女性869例,并予以出生史、家族史、其他畸形等危险因素进行调查来分析DDH的发病影响因素,对需要跟踪观察或治疗的病例进行超声随访。结果:1 847例婴幼儿检出髋关节的异常者为80例(4.3%),其中DDH患儿有14例(7.6‰),其余病例为髋关节不稳定。性别、分娩方式、羊水量、襁褓方式等都是DDH的影响因素。60例超声随访病例中,45例于首次复查时恢复正常,9例于第二次复查时恢复正常。结论:超声检查能对髋关节发育情况及治疗效果进行客观评估,可作为婴幼儿DDH早期筛查和随访的主要手段,为早期干预治疗起到铺垫作用。
Objective: To analyze the status of infant DDD ultrasound screening in Jiangdong District of Ningbo City. Methods: A total of 1 847 infants and young children (3 692 hips) were enrolled in this study. Among them, 978 males and 869 females were enrolled in this study. Their birth histories, Family history, other deformities and other risk factors to investigate the incidence of DDH factors, the need for follow-up observation or treatment of ultrasound follow-up. Results: Out of 847 infants and young children, 80 (4.3%) had abnormalities of hip joint. Among them, 14 (7.6%) children with DDH had hip dysfunction. Sex, mode of delivery, amniotic fluid volume, 襁 褓 way are all the influencing factors of DDH. Of the 60 ultrasound follow-up cases, 45 returned to normal on first review and 9 returned to normal on the second review. Conclusion: Ultrasonography can objectively evaluate the development of hip joint and its therapeutic effect. It can be used as an early screening and follow-up of DDH in infants and young children, which pave the way for early intervention.