安徽医科大学学报2018，Vol.53Issue(3)：475-479,5.DOI:10.19405/j.cnki.issn1000-1492.2018.03.032
安徽省部分地区发育性髋关节异常的临床观察
Clinical observation of developmental dysplasia of the hip in some areas of Anhui Province
摘要
Abstract
Objective To investigate the epidemiological characteristics of developmental dysplasia of the hip(DDH) in some areas of Anhui Province, to explore and formulate the early universal screening program and standardized diagnostic models. Methods Maternal and child health care institutions in 13 districts and counties, coming from parts of Anhui Province including Hefei city, Huainan city, Fuyang city, Bozhou city, Lu'an city, Tongling city and Anqing city and others, had been made use of the perfect provincial, county and village level Maternal and Child Health care system established by the state to had a routine clinical hip examination for all newborns at age 6～24 weeks. The infants with abnormal clinical findings suggestive of developmental dysplasia of the hip were transferred to the public Maternal and Healthy Child center or Anhui Children's Hospital had both clinical and sonographical re-examinations and definitive diagnosis by one of the seasoned paediatricians. Clinical assessment of the hips included limited hip abduction, Allis sign and Barlow/Ortolani tests; while radiological evaluation included the ultrasonography examination, and anterposterior pelvic X-rays if necessary. Results Of 73 274 live births (146 548 hips) underwent early screening programs between January 2015 and May 2016, 7 545 cases(10.3％) were included for further ultrasonographic screening and reports based on clinical examinations. Of whom 136 cases of Graf II type (152 hips) and 142 cases of Graf (II b～IV) type (176 hips) were transferred to our hospital and 218 cases(2. 98％o, 256 hips) presented with DDH with the ratio of male/female 1/3. 74. DDH was more frequent in association with the female gender, first-born children, breech presentation at delivery, caesarean section and positive family history (P＜ 0. 05). Conclusion Anhui Province in some areas have been made use of the perfect provincial, county and village level Maternal and Child Health care system established by the state and achieved early detection and diagnosis of DDH at age 6～24 weeks after birth, according to the model of early clinical examination, clinical and sonographical re-examinations and definitive diagnosis, espenscially for high risk infants, so as to achieve satisfactory results.关键词
髋脱位/先天性/新生儿筛查/超声检查/放射摄影术Key words
hip dislocation/congenital/neonatal screening/ultrasenography/radiography分类
医药卫生引用本文复制引用
孙军,周志林,白传卿,陈文建,张思成,袁亮,武凤芹,袁毅,刘永,宁波,吴梦琦,方继红,姚杰,杨芳,张亚鹏..安徽省部分地区发育性髋关节异常的临床观察[J].安徽医科大学学报,2018,53(3):475-479,5.基金项目
安徽省科技攻关计划项目(编号:1501041159) （编号:1501041159）
