超声诊断早产儿髋关节异常

    Ultrasound diagnosis of developmental dysplasia of hip in premature infants

    • 摘要: 目的:探讨早产儿发育性髋关节异常(developmental dysplasia of hip,DDH)的发生率及超声诊断价值。方法:采用Graf静态检查法超声检查109例早产儿的髋关节,并对结果进行统计分析。结果:109例中,髋关节不稳定22例(20.2%);DDH26例(23.9%),其中髋关节发育不良15例,髋关节半脱位2例,髋关节脱位9例。与正常儿差异有统计学意义(P<0.05)。孕龄<34周的早产儿DDH发生率高于孕龄34~37周的早产儿(P<0.01)。结论:早产儿,尤其是孕龄<34周的早产儿,易患DDH。超声检查可以早发现,早诊断,早干预。

       

      Abstract: Objective: To explore the incidence of developmental dysplasia of hip (DDH) in premature infants and the role of ultrasonography in diagnosis of DDH.Methods: One hundred and nine premature infants were received ultrasonography of the hip,and the results were analyzed statistically.Results: Unstable hips were detected in 22 premature infants (20.2%) and DDH in 26 (23.9%).Among the 26 premature infants of DDH,15 had hip dysplasia,2 hip subluxation and 9 hip dislocation.The difference was significant between premature infants and normal term infants (P<0.05).The incidence of DDH was higher in infants with a gestational age of less than 34 weeks than in those with a gestational age of 34 weeks to 37 weeks (P<0.01).Conclusions: As there is a high incidence of DDH in premature infants,especially in infants with a gestational age of less than 34 weeks,it is suggested that each premature infant receives ultrasonography of the hip so that early intervention could be applied.

       

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