临床小儿外科杂志Issue(3)：206-209,4.DOI:10.3969/j.issn.1671-6353.2015.03.012
超声改良 Morin 法在婴儿发育性髋关节发育不良筛查中的应用
Value of ultrasound for screening infant developmental dysplasia of the hip using the method of modi-fied morin
陈丹 1祁丹 1马小燕 1张海春1
作者信息
- 1. 广东省妇幼保 健院 超声 诊断科广东省广州 市，510010
- 折叠
摘要
Abstract
Objetive To assess the role of ultrasonography in screening the infant developmental dyspla-sia of the hip(DDH)by using the modified Morin method. Methods 8 636 hips of 4 318 infants younger than 6 month were examined sonographically using the methods of modified Morin and Graf.Kappa statistics was adopted to compare the effect between the two methods.In an inter-observer study,5 physicians and 5 res-idents evaluated 10 suspicious DDH images to learn the differences between the different experiences.Results①Detection rate of DDH with modified Morin and Graf methods was 0.8‰、1.3‰.According to modified Mor-in method,99.92% of hips were normal and 0.08% were abnormal(laxsity,subluxation,dislocation),com-pared with 99.87% and 0.13%(type Ⅱb、ⅡC、D、Ⅲ、Ⅳ)according to Graf.②Kappa statistics indicated a fair agreement between the two methods in screening infant DDH.2.Inter-observer test showed nearly equal reli-ability for FHC in physician group and resident group. Conclusions As a percentage of expression,simple classification,equal reliability in different experiences,comparing with the Graf,the modified Morin method can be adopted as an easier way to screen infant DDH.关键词
髋关节/生长和发育/超声检查/普查/婴儿Key words
Hip Joint/GD/Ultrasonography/Mass Screening/Infant引用本文复制引用
陈丹,祁丹,马小燕,张海春..超声改良 Morin 法在婴儿发育性髋关节发育不良筛查中的应用[J].临床小儿外科杂志,2015,(3):206-209,4.
