[1]张冬冬.超声Graf法筛查新生儿发育性髋关节发育异常的影响因素研究[J].医学信息,2020,33(19):132-134.[doi:10.3969/j.issn.1006-1959.2020.19.040]
　ZHANG Dong-dong.Study on Influencing Factors of Ultrasound Graf Method in Screening Neonatal Developmental Hip Dysplasia[J].Medical Information,2020,33(19):132-134.[doi:10.3969/j.issn.1006-1959.2020.19.040]
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超声Graf法筛查新生儿发育性髋关节发育异常的影响因素研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年19期
页码:
132-134
栏目:
调查分析
出版日期:
2020-10-01

文章信息/Info

Title:
Study on Influencing Factors of Ultrasound Graf Method in Screening Neonatal Developmental Hip Dysplasia
文章编号:
1006-1959（2020）19-0132-03
作者:
张冬冬
天津市和平区妇女儿童保健和计划生育服务中心B超科，天津 300051
Author(s):
ZHANG Dong-dong
B-ultrasound Section,Women and Children’s Health Care and Family Planning Service Center, Heping District,Tianjin 300051,China
关键词:
发育性髋关节发育不良; 新生儿; 筛查; 超声
Keywords:
Developmental hip dysplasia; Newborn; Screening; Ultrasound
分类号:
R726.8
DOI:
10.3969/j.issn.1006-1959.2020.19.040
文献标志码:
A
摘要:
目的 研究超声对发育性髋关节发育不良（DDH）的筛查诊断，分析其影响因素。方法 选取2018年10月~2019年10月于我中心就诊的0~6个月内疑似DDH的新生儿837例，其中1674侧关节进行Graf法超声检查并记录结果，分析髋关节侧别、胎儿的分娩方式、新生儿出生时的胎方位、羊水量、胎儿出生体重、孕周以及母亲妊娠时年龄与DDH的关系。结果 用Graf法超声诊断DDH的阳性率为12.43%（208/1674），其中左侧髋关节阳性率为6.69%（112/1674），高于右侧髋关节的5.73%（96/1674），差异有统计学意义（P＜0.05）；不同髋关节的侧别、胎儿的分娩方式、新生儿出生时的胎方位及出生体重、孕周、羊水量以及母亲妊娠时年龄比较，差异有统计学意义（P＜0.05），DDH的发生与这些影响因素有相关性，其中相关性最大的因素是羊水量（φ=0.469）；不同新生儿的性别比较，差异无统计学意义（P＞0.05），与DDH的发生无相关性（P＞0.05）。结论 胎儿的分娩方式、新生儿出生时的胎方位、母体羊水量、胎儿出生体重、孕周以及母亲发生妊娠时年龄均与新生儿DDH的发生呈正相关；Graf法超声检查有助于新生儿发育性髋关节发育异常的筛查，对患儿的DDH诊断具有重要作用。
Abstract:
Objective To study ultrasound screening and diagnosis of developmental dysplasia of the hip (DDH), and analyze its influencing factors. Methods A total of 837 neonates with suspected DDH within 0-6 months who were in our center from October 2018 to October 2019 were selected. Among them, 1674 joints were examined by Graf ultrasound and the results were recorded. The hip joints and fetus were analyzed. The relationship between the child’s delivery method, fetal position at birth, amniotic fluid volume, fetal birth weight, gestational age, and mother’s age at pregnancy and DDH.Results The positive rate of DDH diagnosed by Graf ultrasound was 12.43% (208/1674), of which the positive rate of the left hip was 6.69% (112/1674), which was higher than the 5.73% (96/1674) of the right hip,the difference was statistically significant (P<0.05); the differences were statistically significant among different hip joints, fetal delivery methods, fetal position and birth weight at birth, gestational age, amniotic fluid volume, and mother’s age at pregnancy(P<0.05), the occurrence of DDH was correlated with these influencing factors, among which the most relevant factor was amniotic fluid volume (φ=0.469); there was no statistically significant difference in the gender comparison of different newborns (P>0.05), no correlation with the occurrence of DDH (P>0.05).Conclusion Fetal delivery method, fetal position at birth, maternal amniotic fluid volume, fetal birth weight, gestational week, and mother’s age at the time of pregnancy were all positively correlated with the occurrence of neonatal DDH; Graf ultrasound examination was helpful for neonatal development screening for dysplasia of the hip had an important role in the diagnosis of DDH in children.

参考文献/References:

[1]中华医学会小儿外科分会骨科学组,中华医学会骨科学分会小儿创伤矫形学组.发育性髋关节发育不良临床诊疗指南(0~2岁)[J].中华骨科杂志,2017,37(11):641-650. [2]王娜,关步云,张遇乐.超声与磁共振成像对小儿发育性髋关节发育不良的诊断价值[J].分子影像学杂志,2017,40(2):133-136. [3]陈兆强,杨建平,张中礼.等.婴儿GrafIIa型髋关节自然转归及治疗指征的前瞻性研究[J].中华骨科杂志,2017,37(7):385-392. [4]曾云,刘雁,董学新,等.高频超声在臀纹不对称婴儿髋关节检查中的应用[J].中国超声医学杂志,2013,29(7):629-632.

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更新日期/Last Update: 1900-01-01