临床小儿外科杂志Issue(3)：190-193,4.DOI:10.3969/j.issn.1671-6353.2015.03.008
Graf Ⅱa 型髋关节异常病例的回顾性分析
Analysis the outcome of the hip joint development in graf IIa hip anomalies by ultrasonography
摘要
Abstract
Objetive To determine the relationship between Graf Type IIa and DDH by retrospectively evaluating the outcome of the hip joint development,risk factors,associated anomalies and hip stability of Graf IIa hips.Methods A total of 5816 infants were examined by standardized ultrasonography method of Graf to screen hip abnormalities from January 2012 to June 2013.The incidence rate of Graf IIa hips and the rate of deterioration was calculated,and we assessed their relationship between DDH and the risk factors,associated anomalies,hip stability,affected sides and gender of hip abnormalities.Results A total of 172 hips were di-agnosed with Type IIa,and were found in 112 infants (6.4%).Twenty-four hips in 19 infants (18.6%) showed deterioration by ultrasound examination after an average of 10-week follow-up.Among these cases,18 hips in 14 infants were diagnosed with Graf Type IIb;3 hips in 2 infants with Graf Type IIc;2 hips in 2 infants with Graf Type D and 1 hip in 1 infant with Graf Type III.And there was likelihood that the infants associated with other anomalies and infants with only one side affected would have higher rate of deterioration. Conclu-sions Our study showed that 18.6% of infants diagnosed with Graf Type IIa had a risk of DDH,who needed close follow-ups,especially in those associated with other anomalies and those with only one side affected.Fur-ther study for the connection of Graf Type IIa hips with clinically occult dysplasia of the hip is still needed.关键词
髋关节/生长和发育/超声检查/婴儿Key words
Hip Joint/GD/Ultrasonography/Infant引用本文复制引用
沈品泉,徐卫东,赵黎,朱杰..Graf Ⅱa 型髋关节异常病例的回顾性分析[J].临床小儿外科杂志,2015,(3):190-193,4.基金项目
上海市公共卫生体系建设三年行动计划 （）
