[所谓先天性髋关节脱位——过去7年发病率、诊断及治疗的发展情况]
[[So-called congenital hip dislocation--development of incidence, diagnosis and therapy in the last 7 years].
作者信息
Falliner A, Hahne H J
机构信息
Orthopädische Universitätsklinik Kiel.
出版信息
Z Orthop Ihre Grenzgeb. 1998 Nov-Dec;136(6):487-91. doi: 10.1055/s-2008-1045175.
PROBLEM
How has the Congenital Dislocation of the Hip (CDH) developed in the last 7 years concerning frequency, time of diagnosis and therapy?
METHOD
Retrospective analysis of hospital reports, ultrasound- and X-ray images of children treated with CDH in the University Hospital.
RESULTS
From 1. 1. 1991 to 31. 12. 1997 21 children with 28 dislocated hips were treated. The number of dislocated hips per anno is less than in a former study. In 17 children the diagnosis was found by ultrasound. The diagnosis was made within the first week of life in 8 children. In 9 dislocated hips, open reduction was necessary; in 7 of these 9 joints, diagnosis was made in the first days of life.
CONCLUSIONS
Because of the distinct declination of CDH the "true" congenital dislocations, in which open reductions were often necessary, predominated.
问题
在过去7年中，先天性髋关节脱位（CDH）在发病率、诊断时间和治疗方面是如何发展的？
方法
对大学医院中接受CDH治疗的儿童的医院报告、超声和X线图像进行回顾性分析。
结果
1991年1月1日至1997年12月31日，共治疗21例患有28处髋关节脱位的儿童。每年髋关节脱位的数量少于之前的一项研究。17例儿童通过超声诊断。8例儿童在出生后第一周内确诊。9处髋关节脱位需要进行切开复位；在这9个关节中的7个，在出生后的头几天就做出了诊断。
结论
由于CDH明显下降，“真正的”先天性脱位占主导，这种脱位通常需要进行切开复位。
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