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对有发育性髋关节发育不良(CDH)风险的髋关节进行超声筛查。未能降低晚期病例的发生率。

Ultrasound screening of hips at risk for CDH. Failure to reduce the incidence of late cases.

作者信息

Clarke N M, Clegg J, Al-Chalabi A N

机构信息

Southampton General Hospital, England.

出版信息

J Bone Joint Surg Br. 1989 Jan;71(1):9-12. doi: 10.1302/0301-620X.71B1.2644290.

DOI:10.1302/0301-620X.71B1.2644290
PMID:2644290
Abstract

Of 4,617 babies born in Coventry in 1986, a total of 448 (9.7%) had either clinical abnormality of the hip or at risk factors for CDH. All were examined by ultrasound, but only 17 required treatment (3.7 per 1,000); in five of these no clinical abnormality had been detected. An additional 81 babies had ultrasound abnormalities but did not require treatment, despite the fact that ultrasound at first showed major hip displacement in 17 of them. Three late cases of CDH have presented among the babies born in 1986, but not examined by ultrasound. This incidence of late CDH is unchanged compared with the previous nine years, although ultrasound had detected covert displacement in a number of hips.

摘要

1986年在考文垂出生的4617名婴儿中,共有448名(9.7%)存在髋关节临床异常或先天性髋关节脱位(CDH)的风险因素。所有婴儿都接受了超声检查,但只有17名需要治疗(每1000名中有3.7名);其中5名在检查时未发现临床异常。另有81名婴儿超声检查有异常,但不需要治疗,尽管最初超声显示其中17名有严重的髋关节脱位。在1986年出生但未接受超声检查的婴儿中出现了3例迟发性CDH病例。尽管超声检查发现了一些髋关节的隐匿性脱位,但迟发性CDH的发病率与前九年相比没有变化。

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