Department of Pediatric Surgery, Affiliated Hospital of Zun Yi Medical University, Zun Yi, Guizhou, China.
Department of Pediatric Surgery, Guizhou Children's Hospital, Zunyi City, Guizhou, China.
Medicine (Baltimore). 2024 Mar 15;103(11):e37540. doi: 10.1097/MD.0000000000037540.
This study is an observation of the early screening and treatment effect of infant developmental dysplasia of the hip (DDH) in an area in China. From January 2016 to December 2017, we selected infants and toddlers with high-risk factors for DDH, such as asymmetric gluteal folds, unequal length of lower limbs, and limited hip joint abduction, who visited the Department of Child Health Care and the Outpatient Clinic of Pediatric Orthopedics at the Affiliated Hospital of Zunyi Medical University. In total, 1485 cases were divided into age groups, examined using Graf ultrasound and X-ray, and the results were analyzed. Meanwhile, early interventions were actively adopted for cases with abnormalities during the screening. The detection rates of DDH were 24.0%, 2.8%, 9.3%, and 12.2% among those with 0 to 6 months, 7 to 12 months, 13 to 18 months, and 19 to 24 months of age, respectively. Early and individualized corrective conservative treatment was considered for children with abnormalities, and the cure rates were 87.0%, 65.7%, 41.0%, and 16.7% among those with 0 to 6 months, 7 to 12 months, 13 to 18 months, and 19 to 24 months of age, respectively. There was a statistically significant difference in the detection and cure rates of DDH in infants and toddlers of different ages (P < .01).
本研究观察了中国某地区婴儿发育性髋关节发育不良（DDH）的早期筛查和治疗效果。2016 年 1 月至 2017 年 12 月，我们选择了具有 DDH 高危因素（如臀纹不对称、下肢不等长、髋关节外展受限）的婴儿和幼儿，他们到遵义医科大学附属医院儿童保健科和小儿骨科门诊就诊。共有 1485 例病例按年龄分组，使用 Graf 超声和 X 线进行检查，并对结果进行分析。同时，对于筛查中发现异常的病例，积极采取早期干预措施。0 至 6 个月、7 至 12 个月、13 至 18 个月和 19 至 24 个月龄的 DDH 检出率分别为 24.0%、2.8%、9.3%和 12.2%。对有异常的儿童进行早期个体化矫正保守治疗，0 至 6 个月、7 至 12 个月、13 至 18 个月和 19 至 24 个月龄的治愈率分别为 87.0%、65.7%、41.0%和 16.7%。不同年龄组 DDH 的检出率和治愈率差异有统计学意义（P<0.01）。
