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先天性髋关节脱位的早期诊断。首次实验性检查及结果。

Early diagnosis of congenital dislocation of the hip. First experimental examinations and results.

作者信息

Rit J, Küsswetter W

出版信息

Arch Orthop Trauma Surg (1978). 1982;100(3):191-5. doi: 10.1007/BF00442733.

Abstract

Preliminary trials with computer tomography in the diagnosis and evaluation of dysplastic hips have brought the following results: (1) The figures closely resemble the x-rays and are as easily read, however, the amount of radiation is much less. (2) Cartilage form and borders are visible so that diagnosis is possible prior to the age of 3 months. (3) Since soft tissue contours are visible, it is expected that arthrography would be superfluous, thereby resulting not only in less x-ray exposure for the small child or infant but also reduction in risk due to anaesthesia and of joint puncture with its risk of infection (though minimal). As to whether or not the question of cost will be so positively answered, it is not yet clear. Further evaluation of this technique is presently being undertaken.

摘要

计算机断层扫描在发育异常髋关节诊断和评估方面的初步试验取得了以下结果

(1)图像与X射线片非常相似,同样易于解读,然而,辐射量要少得多。(2)软骨形态和边界清晰可见,因此在3个月龄之前即可进行诊断。(3)由于软组织轮廓清晰可见,预计关节造影将不再必要,从而不仅减少了幼儿或婴儿的X射线照射量,还降低了麻醉风险以及关节穿刺带来的感染风险(尽管风险极小)。至于成本问题是否会得到如此肯定的答案,目前尚不清楚。目前正在对该技术进行进一步评估。

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