Ganger R, Grill F, Leodolter S, Vitek M
Abteilung für Kinderorthopädie, Orthopädisches Spital Wien-Speising.
Ultraschall Med. 1991 Feb;12(1):25-30. doi: 10.1055/s-2007-1004042.
1291 newborn were examined sonographically between May 1986 and June 1987. Some of them were followed up radiologically until February 1989. The schedule of examination and treatment is given below. Neonatal examination suggested the immediate treatment of 3.25% of the newborn (1.97% of all hips), either Pavlik harness or abduction brace. The mean duration of therapy was 4.3 months. At the end of therapy type I was always in evidence. Patients with severe dysplasia (Graf type IIc or worse) were followed up radiologically at the end of the 2nd year of life. An avascular necrosis of the femoral head was not observed; in one case there was an acetabular index of 30 degrees; the remaining hip joints showed normal findings. We conclude that ultrasound examination in the neonatal period is a worthwhile procedure.
1986年5月至1987年6月期间，对1291例新生儿进行了超声检查。其中一些新生儿接受了放射学随访，直至1989年2月。检查和治疗时间表如下。新生儿检查表明，3.25%的新生儿（占所有髋关节的1.97%）需要立即治疗，治疗方式为使用帕夫利克吊带或外展支具。平均治疗时长为4.3个月。治疗结束时，I型情况总是很明显。严重发育不良（格拉夫IIc型或更严重）的患者在2岁末接受了放射学随访。未观察到股骨头缺血性坏死；有1例髋臼指数为30度；其余髋关节检查结果正常。我们得出结论，新生儿期超声检查是一项值得进行的检查。
