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目的探讨婴幼儿发育性髋关节发育不良情况,并研究相关防治对策。方法对本院2015年1月~12月期间6个月~2岁2048例婴幼儿采用X线骨盆平片进行检查,统计婴幼儿髋关节异常情况,同时分析婴幼儿发育性髋关节异常发病的影响因素,并以此提出相关防治对策。结果受检患儿为2048例,异常550例,550例中直接确诊为发育性髋关节发育的为7例。通过多元线性回归分析发现,侧别、性别、襁褓方式及妊娠胎位为婴幼儿发育性髋关节异常的主要影响因素(P<0.05)。550例异常患者进行随访,随访期间,500例患者于首次复查恢复正常,另外50例患者中,20例患者于第2次复查明显好转。结论应用X线骨盆平片检查可有效检出6个月以上婴幼儿发育性髋关节异常,同时积极对危险因素加以干预和及早治疗对患者恢复具有重要意义。
Objective To investigate the developmental dysplasia of hip in infants and young children and to study the related control strategies. Methods Totally 2048 infants from 6 months to 2 years old from January 2015 to December 2015 in our hospital were examined by X-ray pelvic radiography and the abnormality of hip joint was analyzed. At the same time, the incidence of developing abnormal hip joint in infants and young children was analyzed Influencing factors, and to put forward relevant prevention and control measures. Results There were 2048 children with abnormalities and 550 were abnormal. Of the 550 cases, 7 were directly diagnosed as developmental hip development. Multivariate linear regression analysis found that the side effects, sex, coma and gestational fetal position were the main influencing factors of developing hip dysfunction (P <0.05). During the follow-up period, 500 patients returned to normal on the first review, and among 50 patients, 20 patients improved significantly on the second review. Conclusion X-ray pelvic examination can detect abnormalities of developmental hip joint in infants more than 6 months. At the same time, active intervention of risk factors and early treatment are of great significance for the recovery of patients.