Legmann P, Themar-Noel C, Bourillon A, Bensahel H, de Paillerets F, Levesque M
J Radiol. 1986 Apr;67(4):295-301.
Ultrasound imaging of hip (UIH) was performed in 170 children (340 hips) with normal (193) and dysplasic (147) hips and findings compared with results of clinical and radiologic examinations. Ultrasound demonstrated 100% sensitivity in cases with abnormal clinical and radiologic finding, and 94% specificity for UIH when clinical and radiologic examinations were negative. Sensitivity and specificity of ultrasound screening (respectively 96 and 81%) were comparatively superior to those of radiography of the pelvis (83 and 78%) in relation to the clinical examinations. These findings predict further development of UIH for screening of congenital dislocation of the hips and for follow up surveillance of treated children.
对170名儿童(340个髋关节)进行了髋关节超声成像(UIH)检查,这些儿童的髋关节正常(193个)或发育异常(147个),并将检查结果与临床和放射学检查结果进行了比较。在临床和放射学检查结果异常的病例中,超声显示出100%的敏感性,而当临床和放射学检查结果为阴性时,UIH的特异性为94%。与临床检查相比,超声筛查的敏感性和特异性(分别为96%和81%)相对优于骨盆X线摄影(83%和78%)。这些发现预示着UIH在筛查先天性髋关节脱位以及对接受治疗的儿童进行随访监测方面将有进一步的发展。