何燕 刘海霞 饶静

[摘要] 目的 分析髋关节超声检查格拉夫法在0～6个月婴幼儿发育性髋关节异常（DDH）筛查中的应用价值。 方法 选取四川省江油市人民医院2017年2月～2018年2月诊治的0～6个月婴幼儿1052例，均运用髋关节超声检查格拉夫法实施检查，查看髋关节形态，对α、β角测量，并展开统计分析。 结果 1052例婴幼儿2104个髋关节中，正常髋关节2084个，异常髋关节20个，发育性髋关节异常8个。经超声检测ɑ角与β角呈负相关（r = -0.57，P < 0.05），ɑ角与月龄呈正相关（r = 0.18，P < 0.05），β角与月龄呈负相关（r = -0.23，P < 0.05）。正常髋与异常髋患儿的ɑ角与β角测定结果差异有统计学意义（P < 0.05）。 结论 髋关节超声检查格拉夫法可将0～6个月婴幼儿发育性髋关节异常尽早筛查出来，为本地区DDH发病情况提供依据，并可为DDH患儿的尽早治疗提供重要信息。

[关键词] 婴幼儿;髋关节超声检查;格拉夫法;发育性髋关节异常

[中图分类号] R726.8          [文献标识码] A          [文章编号] 1673-7210（2019）03（a）-0128-04

Abstract] Objective To analyze the value of graff method in the screening of developmental hip dysplasia （DDH） in infants aged 0-6 months. Methods From February 2017 to February 2018， 1052 infants aged 0-6 months who were diagnosed and treated in Jiangyou People′s Hospital of Sichuan Province were selected. All of them were examined by hip joint ultrasound examination using graff method. Measurement of α，β angles and statistical analysis were carried out. Results All of the 2104 hip joints in 1052 infants， 2084 were normal， 20 were abnormal and 8 were developmental. The ultrasonic testing α angle was negatively associated with β angle （r = -0.57， P < 0.05）， and the α angle was positively associated with months （r = 0.18， P < 0.05）， and the β angle was negatively correlated with age of month （r = -0.23， P < 0.05）. The α angle and β angle determination results difference between infants with normal and abnormal hipjoints were statistically significant （P < 0.05）. Conclusion Ultrasound examination of hip joint by graff method can screen developmental hip joint abnormality in infants 0-6 months old as early as possible， and provide a basis for the incidence of DDH in this region and provid important information for the early treatment of DDH children.

[Key words] Infant; Ultrasound examination of the hip joint; Graff method; Developmental dysplasia of the hip

發育性髋关节异常（DDH）是髋关节发育类疾病，包括髋关节脱位和髋关节发育不良，为儿童常见骨骼系统疾病[1]。DDH治疗越早，预后越良好，而要实现尽早治疗的前提是早期明确诊断疾病。早期诊断后，患儿髋关节仍有较大成熟潜能，此时实施治疗能够促使髋关节获得更长的骨化时期，能够有效促进髋关节成熟[2]，还可促使治疗时间缩短，获取更为理想的治疗效果。从20世纪80年代开始，超声检查就在DDH检查中得以应用，且经过多年发展，研究人员目前已重视从多种角度来对髋关节的测量方法展开分析，并且发现一些指标能够反映髋臼的发育状况，或可反映髋臼、股骨头位置的相关情况[3]，这为超声对DDH的筛查提供了重要参考信息。四川省江油市人民医院（以下简称“我院”）超声科近年来应用髋关节超声检查格拉夫法对0～6个月婴幼儿展开筛查，效果明显，现报道如下：

1 资料与方法