Objective To learn the hip development of infants within six months in Xinjiang Ili state and the detection rate of ultrasonography in infant developmental dysplasia of hip(DDH),investigate the epidemic factors of DDH and provide guidance for early interference. Methods From April,2011 to April,2012,1 862 infants within six months in our hospital(totaling 3 724 hips) were examined by regular physical examination and ultrasound screening.The epidemic factors of DDH were studied and at the same time,the exceptional cases were intervened with individualized treatment. Results 37 exceptional cases of hip dysplasia were examined by ultrasound screening(totaling 50 hips),with a 1.3% DDH detection rate.The incidence rate of baby girls was higher than that of baby boys,in a proportion of 2 to 1.The DDH detection rate of Kazak and Uyghur nationality was significantly higher than that of Hui and Han nationality (4∶1).All the patients of various types recovered after timely and individualized treatment. Conclusion DDH morbidity varies with different gender and nationality.Babies whose legs are wrapped after birth tend to have hip dysplasia.Earlier screening for infant hip development can prevent against pathogenic factors thus will have great significance on earlier individualized intervention treatment.
Key words
hip dysplasia /
earlier screening /
intervention /
infants
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] 陈博昌.发育性髋关节异常的早期诊断和早期治疗[J].中华小儿外科,2005,26(11):603-605.
[2] 吴虹,陈博昌,杨杰,等.髋关节临床检查的诊断评价[J].中国儿童保健杂志,2004,l2(1):68-69.
[3] 姜俊,麻宏伟,戴晓梅,等.先天性髋关节脱位的遗传流行病学研究[J].中国医科大学学报,2006,35(5):514-517.
[4] 白希壮,吉士俊,范广宇,等.Graf法超声诊断婴幼儿髋关节发育不良和脱位[J].中华外科杂志,2008,12(6):921-924.
[5] 李玉婵.超声检查在发育性髋关节异常中的应用[J].中国矫形外科杂志,2005,13(7):538-540.
[6] 郭永成,申毅,王永堂,等.婴幼儿发育性髋关节发育不良早期筛查和治疗[J].实用儿科临床杂志,2012,27(9):721-723.