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自制臀兜治疗婴儿先天性髋关节脱位
Hits: 2366   Download times: 1257   Received:March 03, 2011    
作者Author单位UnitE-Mail
王国勤 WANG Guo-qin 宏力医院骨科,河南 新乡 453400 Department of Orthopaedics, Hongli Hospital of Henan, Xinxiang 453400, Henan, China guoqinwang01@163.com 
杨荣建 YANG Rong-jian 鄄城县中医院  
康秀宣 KANG Xiu-xuan 宏力医院骨科,河南 新乡 453400 Department of Orthopaedics, Hongli Hospital of Henan, Xinxiang 453400, Henan, China  
温应辉 WEN Ying-hui 宏力医院骨科,河南 新乡 453400 Department of Orthopaedics, Hongli Hospital of Henan, Xinxiang 453400, Henan, China  
袁和森 YUAN He-sen 宏力医院骨科,河南 新乡 453400 Department of Orthopaedics, Hongli Hospital of Henan, Xinxiang 453400, Henan, China  
期刊信息:《中国骨伤》2011年24卷,第9期,第765-767页
DOI:10.3969/j.issn.1003-0034.2011.09.017


目的:探讨婴儿先天性髋关节脱位的早期发现和新的治疗方案,了解先天性髋关节脱位早期的临床表现,早期诊断。

方法:2006年至2010年应用自制臀兜治疗婴儿先天性髋关节脱位95例,男25例,女70例;年龄0~6个月,平均3.2个月。有因换尿布时发现臀部或双下肢臀纹不对称或双下肢肌力活动度不同,来院检查,进一步拍X线片证实为先天性髋关节脱位,并及时给予自制臀兜治疗。

结果:患儿及时佩戴自制臀兜治疗,固定期间每月门诊复查1次,每2个月拍片1次至患儿月龄加2个月解除固定。根据刘远忠等疗效评定标准,本组优 90例,良2例,可2例,差1例。

结论:臀兜穿戴舒适,固定可靠,双下肢能在一定的范围内活动,符合中医正骨动静结合原则,使头臼产生一定的生理刺激,促进髋臼及股骨头的发育。
[关键词]:婴儿  髋脱位,先天性  外固定器
 
Self-made pygal cloth sling for the treatment of congenital dislocation of hip in infants
Abstract:

Objective: To investigate the early clinical detection and new method for the treatment of congenital dislocation of hip in infants.

Methods: From 2006 to 2010,95 infants with congenital dislocation of hip were treated with self-made pygal cloth sling,including 25 males and 70 females,with an average age of 3.2 months old ranging from 0 to 6 months. Some patients were detected incidentally for the symptoms like asymmetric muscle strength or lower limbs range of motion,and all the patients got diagnosed with dislocation.

Results: After the treatment,all of the patients received outpatient view once a month and taken X-ray examination bimonthly. Pygal cloth sling was removed after 2 months. According to the assessment criteria made by LIU Yuan-zhong,90 patients got an excellent result,2 good,2 fair and 1 poor.

Conclusion: Treatment of congenital dislocation of hip in infants with self-made pygal cloth sling promotes the development of acetabulum and femoral head,and worthy further clinical applications.
KEYWORDS:Infant  Hip dislocation,congenital  External fixators
 
引用本文,请按以下格式著录参考文献:
中文格式:王国勤,杨荣建,康秀宣,温应辉,袁和森.自制臀兜治疗婴儿先天性髋关节脱位[J].中国骨伤,2011,24(9):765~767
英文格式:WANG Guo-qin,YANG Rong-jian,KANG Xiu-xuan,WEN Ying-hui,YUAN He-sen.Self-made pygal cloth sling for the treatment of congenital dislocation of hip in infants[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(9):765~767
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