闭合复位治疗小儿先天性髋关节脱位的临床价值分析

陈宗仁

[摘要] 目的 探究闭合复位治疗小儿先天性髋关节脱位的临床价值。方法 方便选取该院2017年1月—2018年12月期间治疗的120例先天性髋关节脱位患儿进行病情回顾分析。在患儿家属签署知情同意书后，以年龄大小为依据，将其分为A、B、C 3组，平均每组40例患儿。A组患儿年龄在6～15个月之间，B组患儿年龄在16～24个月之间，C组患儿年龄在25～36个月之间。医护人员在术后12个月后对3组患儿髋关节功能Mckay平分、髋关节X线Severin评分及股骨头坏死几率进行分析对比。结果 A组患儿髋关节功能Mckay评分优良率为100%、髋关节X线Severin评分优良率为100%;B组患儿髋关节功能Mckay评分优良率为87.5%、髋关节X线Severin评分优良率为85.0%;C组患儿髋关节功能Mckay评分优良率为85.0%、髋关节X线Severin评分优良率为80.0%（P<0.05）;A、B、C 3组患儿股骨头坏死几率分别为（2.5%）、（7.5%）、（10.0%）（P<0.05）。结论 闭合复位疗法对先天性髋关节脱位患儿疗效极佳，且越早进行治疗的患儿治疗有效率越高。

[关键词] 闭合复位;先天性髋关节脱位;治疗效果

[Abstract] Objective To explore the clinical value of closed reduction in the treatment of congenital hip dislocation in children. Methods A retrospective analysis was that convenient selection of performed on 120 children with congenital hip dislocation treated in the hospital from January 2017 to December 2018. After the family members of the children signed the informed consent，they were divided into three groups A，B，and C based on their age，with an average of 40 children in each group. The children in group A were between 6-15 months，the children in group B were between 16-24 months，and the children in group C were between 25-36 months. The medical staff analyzed and compared the Mckay bisection，hip X-ray Severin score，and the probability of femoral head necrosis in the three groups of children 12 months after surgery. Results The excellent rate of Mckay score of hip function in group A was 100% and the excellent rate of Severin score of hip X-ray was 100%; the excellent rate of Mckay score of hip function was 87.5% and excellent rate of hip X-ray Severin score in group B 85.0%; excellent rate of Mckay score of hip function in group C and 80.0% of Severin score of hip X-ray（P<0.05）; femoral head necrosis rates in groups A，B，C Were （2.5%），（7.5%），（10.0%） （P<0.05）. Conclusion Closed reduction therapy is very effective for children with congenital hip dislocation，and the earlier the treatment more effective the treatment.

[Key words] Closed reduction;Congenital hip dislocation;Treatment effect

先天性髋关节脱位是较为常见的儿科病症之一 。患儿主要病症表现为双侧或单侧髋关节不稳定、髋臼与股骨头对位差等情况[1]。如果患儿病症没有得到有效的治疗会导致患儿出现跛行、鸭步等情况发生，对其日常活动造成影响。先天性髋关节脱位患儿可通过手术治疗或保守治疗来调节自身病情，但手术治疗过程繁琐，且患儿术后容易出现伤口感染等情况。相比之下，保守治疗有着创伤小、治疗方式简单、恢复快等优点[2-3]。由此可知，如患儿年龄合适，可选择保守治疗。为了对闭合复位治疗小儿先天性髋关节脱位效果有深入的了解，将该院2017年1月—2018年12月期间治疗的120例患儿给予不同方法进行治疗，报道如下。……