超声诊断早产儿髋关节异常.pdf

l2009null08null10T8g8D1.2S,2.38S,221006TeUnull(1980-),3,D=.cI|1000null2200(2010)04null0404null03null影像医学null2*81sUnull1,y-1,lL1,1,2K1目的:)*8?1s(developmentaldysplasiaofhip,DDH)?3q#2Nb方法:Graf_E2_109*81,iTd9sb结果:109,122(20.2%)；DDH26(23.9%),1?15,12,19b8sd9il(P0.05)b-34*8DDH?3q-3437*8(P0.01)b结论:*8,-34*8,DDHb2_V*?C,*,*b1oM1；?1s；8,*,%h；2SmsEs|R323.45nullnullnullDSMAUltrasounddiagnosisofdevelopmentaldysplasiaofhipinprematureinfantsQINMing1,DUJiannullxia1,WANGQiunullshi1,LIBaonulllan1,JIANGTingnullting2(1.DepartmentofUltrasound,2.DepartmentofNewborn,XuzhouPediatricHospital,XuzhouJiangsu221006,China)AbstractObjective:Toexploretheincidenceofdevelopmentaldysplasiaofhip(DDH)inprematureinfantsandtheroleofultrasonographyindiagnosisofDDH.Methods:Onehundredandnineprematureinfantswerereceivedultrasonographyofthehip,andtheresultswereanalyzedstatistically.Results:Unstablehipsweredetectedin22prematureinfants(20.2%)andDDHin26(23.9%).Amongthe26prematureinfantsofDDH,15hadhipdysplasia,2hipsubluxationand9hipdislocation.Thedifferencewassignificantbetweenprematureinfantsandnormalterminfants(P0.05).TheincidenceofDDHwashigherininfantswithagestationalageoflessthan34weeksthaninthosewithagestationalageof34weeksto37weeks(P0.01).Conclusions:AsthereisahighincidenceofDDHinprematureinfants,especiallyininfantswithagestationalageoflessthan34weeks,itissuggestedthateachprematureinfantreceivesultrasonographyofthehipsothatearlyinterventioncouldbeapplied.Keywordshipjoint；developmentaldysplasiaofhip；infant,premature,diseases；ultrasonicdiagnosisnullnull?1s(developmentdysplasiaofhip,DDH)881%h,9M|11y1,DDHcWil88152b.dZE1GL5D38_XLb20W80M*,Graf72_1/,a7#VT,7Ww#,SE7Z3812o3,v38DDH*b*8T38B+ys,1&F2?,Bs5D31b2008M312,Graf_E2_1/109*8_,CTb1nullZE1.1null一般资料null10936=8,(HW(37,6(HW31438TvF,(V#A(|a6)b_8(5D3E81Z,iW1b1.2null方法null1.2.1null2_nullSiemensG602N,Lhq6.5MHzbGraf_E,s_8|,vYH)|13mbSmHC,=Hc7g2#2,mhb1SLCnullLCnull,HhqMRI($sh=d/hD100%),i:cb1.2.2nullsSnull1:null!60,null55,55%#MRI60%；1:55#null60,55null#77,45%#MRI55%；1?:50#null55,55null#77,45%#MRI55%；1:45#null77,MRI45%；1:null45,null#MRI(EbvsS,|1?a1a1DDH(nm1a2)b404JBengbuMedCol,lApril2010,Vo.l35,No.41.3null统计学方法null2_b2nullTnullnullvF1q16.8%,*8F20.2%；vFDDH?3q11.2%,*8F23.9%b*8DDH?3qvF(P0.05)(nV1)b3437*8F1q17.7%,DDH?3q14.5%；34*8F1q23.4%,DDH?3q36.2%b-34*8FDDH?3q-3437*8F(P0.01)(nV2)bV1null2F12_T1(n)sFn11DDH2PvF1431032416*8F1096122268.800.0592521644642nullV2null*8F812_T1(n)n11DDH2P3447191117343762421199.240.0191096122263null)nullnullCS/?Z,*8iqXv4,L3iY9sjbDDH8nd%h,V11BhMb#H?C,8i1?,?,=*|?311,50-1b.dDDHZEXL,81s,XL4AU,H1,E4i8XL_b72_B2a7_,HVbAU1=#F,9ZL,#EsbTegnander42_XLZE1,11M1,2_1VT386/8DDHZEb5-69S,2_81XLbB,(saoaaEB1?s%hNa3%hDDHy,5_(ZaOrtolanik)9$InybYV*881AU,*8DDHb-,DDH$B3405蚌埠医学院学报2010年4月第35卷第4期11?shM,T9B4bsy,*83Hd2?(Y8,T1dK11,A9?b7DDHT3H1isi3?V0hM,*8?3q9M9bAU,-l,DDH?3qvb-3437*8,DDH?3qX8Mb3,Yily,F*,-37,8rBH,9Lqb6,AW_EdTil,%hV?0o/Y#A1,M8,4,V7h1LmDDHh?3bID1nullRosenbergN,BlialikV,NormanD,etal.TheimportanceofcombinedclinicalandsonographicexaminationofinstabilityoftheneonatalhipJ.IntOrthop,1998,22(3):185-188.2nullAronssonDD,GoldbergMJ,KlingTFJr,etal.DevelopmentaldysplasiaofthehipJ.Pediatrics,1994,94(2Pt1):201-208.3nullAmericanAcademyofPediatrics.Clinicalpracticeguideline:earlydetectionofdevelopmentaldysplasiaofthehipJ.Pediatrics,2000,105(4Pt1):896-905.4nullTegnanderA,TerjesenT.Reliabilityofultrasonographyinthefollownullupofhipdysplasiainchildrenabove2yearsofageJ.ActaRadio,l1999,40(6):619-624.3null,p,fH.1?s2o_XL_1J.SS,2007,15(13):999-1001.6null,k,u,.8?1s*J.+Dv,2006,27(19):1773-1775.7nullol,Z.385?1?hqJ.l8S,1985,6(3):133.8nullp,.38?1s2oJ.l8S,2007,28(11):590-593.9nullGerscovichEO.Aradiologistsguidetotheimaginginthediagnosisandtreatmentofdevelopmentaldysplasiaofthehip,parttwoJ.SkeletalRadio,l1997,26(8):447-456.10nullu,u.1?s2ZJ.S,2006,26(5):346-349.1hqaqahqa?hqPnullnull某病的病死率a死亡率a患病率是常用的疾病统计指标,本刊来稿中常见的错误是把某病病死率写成死亡率,把某病的患病率a