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岭南现代临床外科 ›› 2017, Vol. 17 ›› Issue (04): 494-497.DOI: 10.3969/j.issn.1009-976X.2017.04.030

• 综述 • 上一篇    下一篇

发育性髋关节发育不良早期诊断的研究进展

李黔春 江中潮   

  1. 成都中医药大学临床医学院
  • 通讯作者: 江中潮

The research progress of early diagnosis in developmental hip dysplasia

LI Qianchun1, JIANG Zhongchao2   

  1. 1 Clinical Medical School of Chengdu University of TCM, Chengdu 610072, China 2 Department of Orthopedics, the Affiliated Hospital of Chengdu University of TCM, Chengdu 610075, China
  • Online:2017-08-20 Published:2017-08-20
  • Contact: JIANG Zhongchao

摘要:

发育性髋关节发育不良(DDH)是儿童骨科最常见的髋部疾患,早期诊断意义重大。先前,DDH的诊断主要依靠体格检查、骨盆平片。但因体格检查对DDH的检出率不高,小婴儿髋关节有大量对X线不显影的软骨成分,X线检查也不易判断,造成大量新生儿、婴幼儿被漏诊或误诊。近年来,这方面的工作也得到了越来越多的国内外学者的重视,髋关节超声检查的广泛应用显著提高了DDH的早期诊断率,最近MRIDDH诊断的研究和应用也逐渐展开。综述体格检查,X线、CTMRI、超声等影像检查在DDH早期诊断中的研究进展和应用价值。

关键词: 婴幼儿, 影像学检查 , 发育性髋关节发育不良, 诊断

Abstract:

Developmental hip dysplasiaDDHis a common hip disease in infants and children. The early diagnosis of DDH is very important. Previously, the basis of the diagnosis of DDH was from physical examination and AP roentgenograms. The diagnostic rate of physical examination is very low. And the conventional X-ray provides limited information, because the hip of infant is build up with vast cartilage, which nonvisualized in X-ray. Numerous infants and children were misdiagnosed or missed diagnosis. In recent years, more and more scholars both here and abroad pay attention to these facts. It is ultrasonic examination widely used, that effectively improve the diagnostic accuracy. Freshly, the research and application of MRI is developing in the diagnosis of DDH. In this article we reviewed the research progress and using value about physical examination and imaging findings on DDH.

Key words: developmental dysplasia of the hip, infant, diagnosis, imaging examination

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