将移植物方法纳入台湾人口髋关节发育不良早期诊断的普遍新生儿超声筛查计划的有效性。

IF 2.2 3区 医学 Q2 ORTHOPEDICS
Jou-Hua Wang, Shu-Hsin Yao, Ting-Ming Wang, Chii-Jeng Lin, Chang-Hao Lin, Chun-Ho Chen
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引用次数: 0

摘要

目的:本研究评估将Graf方法整合到台湾新生儿普遍筛检计划中,以侦测髋骨发育不良(DDH)的有效性。方法:2014年5月至2019年11月期间筛查的4,667名新生儿纳入本研究。出生后3天进行髋关节超声扫描,并根据其形态和稳定性对髋关节进行分类。评估DDH的早期诊断、晚期诊断和手术干预的发生率。记录DDH的危险因素和治疗措施。结果:初检时,95.95%的髋关节分为Graf I型,小部分分为IIa型、IIc型(稳定/不稳定)、III型。到第4周第二次检查时,所有IIa型髋关节均成熟为i型。12周前,共有35髋(0.37%)被诊断为DDH,并接受了Pavlik套治疗,早期诊断率为0.37%,无晚期诊断病例报告。ddh相关手术发生率为0.04%。多变量logistic回归发现女性(OR = 2.41, 95% CI: 1.05 ~ 5.52, p = 0.038)和臀位(OR = 6.54, 95% CI: 2.22 ~ 19.32, p)。结论:采用Graf方法进行新生儿超声筛查对DDH的早期发现和干预简单有效。此外,它显著降低了晚期诊断率和手术干预的需要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of incorporating the graf method into a universal neonatal ultrasound screening program for early diagnosis of developmental dysplasia of the hip in the Taiwanese population.

Purpose: This study evaluated the effectiveness of integrating Graf method into the universal neonatal screening program for detecting developmental dysplasia of the hip (DDH) in Taiwanese population.

Methods: A total of 4,667 neonates screened between May 2014 and November 2019 were enrolled in this study. Hip ultrasound scans were performed three days after birth, and hips were classified based on their morphology and stability. The incidence rates of early diagnosis, late diagnosis, and surgical interventions for DDH were assessed. Risk factors and treatment measures for DDH were documented.

Results: During the initial examination, 95.95% of hips were classified as Graf type I, while a small proportion were classified as types IIa, IIc (stable/unstable), or III. By the second examination at 4 weeks, all type IIa hips had matured to type I. A total of 35 hips (0.37%) were diagnosed with DDH and treated with a Pavlik harness before 12 weeks, resulting in an early diagnosis rate of 0.37%, with no cases of late diagnosis reported. The incidence of DDH-related surgeries was 0.04%. Multivariable logistic regression identified female sex (OR = 2.41, 95% CI: 1.05-5.52, p = 0.038) and breech presentation (OR = 6.54, 95% CI: 2.22-19.32, p < 0.001) as significant risk factors for DDH.

Conclusion: Universal neonatal ultrasound screening using the Graf method is simple and beneficial in the early detection and intervention of DDH. Additionally, it significantly reduces the rates of late diagnosis and the need for surgical intervention.

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来源期刊
BMC Musculoskeletal Disorders
BMC Musculoskeletal Disorders 医学-风湿病学
CiteScore
3.80
自引率
8.70%
发文量
1017
审稿时长
3-6 weeks
期刊介绍: BMC Musculoskeletal Disorders is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of musculoskeletal disorders, as well as related molecular genetics, pathophysiology, and epidemiology. The scope of the Journal covers research into rheumatic diseases where the primary focus relates specifically to a component(s) of the musculoskeletal system.
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