超声波检查评估婴儿髋关节发育不良的各种因素:中国西北地区一家大型医院的回顾性研究结果。

IF 1.5 4区 医学 Q3 ORTHOPEDICS
Tian-tian Dong , Fang Nie , Lu-lu Yang , Ting Wang
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引用次数: 0

摘要

背景:髋关节发育不良(DDH)的发生和发展与多种因素有关,文献对此已有报道,但文献并未提及与DDH严重程度有关的因素。本研究的目的是结合格拉夫超声诊断分类法分析DDH发生和严重程度的相关因素:本研究是一项单中心回顾性研究,描述了中国西北地区一家大型医院中与 DDH 相关的因素。2014年至2018年间,我科共收治了3046名出生后6个月内的婴儿(6092髋),采用Graf法进行诊断。我们分析了DDH的数据。在查阅病历和诊断检查结果后,我们评估了种族、性别、胎龄、出生体重、诊断年龄、产妇年龄、分娩方式、胎儿表现、羊水量和出生顺序等因素对髋关节发育是否有影响。结果:①分析表明,DDH 多发生于女性和左髋关节,与宫内胎儿先露、羊水量、胎龄、分娩方式、产前体重和出生后诊断年龄有关,DDH 的发生还与产妇年龄有关(均 P<0.05)。种族和初产妇与 DDH 发生率无明显相关性(P = 0.718,0.147)。与羊水的相关性最强,其次是出生体重。③ DDH 的严重程度与种族、出生人数、产前体重、胎龄、诊断年龄和产妇年龄相关(均分别为 P<0.05)。不同类型的 DDH 在治疗方法、疗程和预后方面存在明显差异:结论:DDH的发生和发展与多种因素有关。结论:DDH的发生和发展与多种因素有关,超声检查可早期评估婴儿髋关节发育状况,对早期临床诊断、治疗、监测和预后判断具有重要作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ultrasonography in the evaluation of various factors of developmental dysplasia of the hip in infants: Results from a retrospective study in a large hospital of northwest China

Background

The occurrence and development of developmental dysplasia of the hip (DDH) are related to a variety of factors, which have been reported in the literature, but the literature does not mention factors related to the severity of DDH. The purpose of this study is to analyze the related factors of the occurrence and severity of DDH in combination with the Graf ultrasonic diagnostic classification.

Methods

This study was a monocentric retrospective study describing the factors associated with DDH in a large hospital of northwest China. A total of 3046 infants (6092 hips) within 6 months after birth using the Graf method were admitted to our department between 2014 and 2018. We analyzed data of DDH. After reviewing medical charts and diagnostic examination results, we assessed whether factors such as ethnicity, gender, gestational age, birth weight, diagnosis age, maternal age, mode of delivery, fetal presentation, amniotic fluid volume and birth order, had any effect on development of hip.

Result

① Analysis showed that DDH mostly occurs in female and left hip joint, related to intrauterine fetal presentation, amniotic fluid volume, gestational age, mode of delivery, prenatal weight, and diagnosis age after birth, and the occurrence of DDH is also related to maternal age (All P<0.05). Ethnicity and first born showed have no obvious correlation with DDH incidence (p = 0.718, 0.147, respectively). ② The strongest correlation was found with amniotic fluid, followed by birth weight. ③ The severity of DDH was correlated with ethnicity, births, prenatal weight, gestational age, diagnosis age and maternal age (All P<0.05, respectively). ④ There were significant differences in treatment methods, duration and prognosis among different types of DDH.

Conclusions

The occurrence and development of DDH are related to a variety of factors. Ultrasound examination can provide an early assessment of the hip development status of infants and may play an important role in establishing an early clinical diagnosis treatment and monitoring and prognosis.

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来源期刊
Journal of Orthopaedic Science
Journal of Orthopaedic Science 医学-整形外科
CiteScore
3.00
自引率
0.00%
发文量
290
审稿时长
90 days
期刊介绍: The Journal of Orthopaedic Science is the official peer-reviewed journal of the Japanese Orthopaedic Association. The journal publishes the latest researches and topical debates in all fields of clinical and experimental orthopaedics, including musculoskeletal medicine, sports medicine, locomotive syndrome, trauma, paediatrics, oncology and biomaterials, as well as basic researches.
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