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中华医学超声杂志(电子版) ›› 2024, Vol. 21 ›› Issue (08) : 766 -769. doi: 10.3877/cma.j.issn.1672-6448.2024.08.004

指南与规范

治疗一岁以下中心性发育性髋关节发育不良循证临床实践指南解读
何靖楠1, 陈涛1,()   
  1. 1. 100035 首都医科大学附属北京积水潭医院超声科
  • 收稿日期:2024-05-22 出版日期:2024-08-01
  • 通信作者: 陈涛
  • 基金资助:
    第三期"扬帆"计划临床技术创新项目(YGLX202319); 北京积水潭医院院级课题(YGQ-202303)

Interpretation of "Treatment of centered developmental dysplasia of the hip under the age of 1 year: an evidence-based clinical practice guideline"

Jinɡnan He, Tao Chen()   

  • Received:2024-05-22 Published:2024-08-01
  • Corresponding author: Tao Chen
引用本文:

何靖楠, 陈涛. 治疗一岁以下中心性发育性髋关节发育不良循证临床实践指南解读[J]. 中华医学超声杂志(电子版), 2024, 21(08): 766-769.

Jinɡnan He, Tao Chen. Interpretation of "Treatment of centered developmental dysplasia of the hip under the age of 1 year: an evidence-based clinical practice guideline"[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(08): 766-769.

发育性髋关节发育不良(developmental dysplasia of the hip,DDH)的发生率很高,在荷兰,6个月以下儿童的发病率达到3.7%[1]。然而,在世界范围内,DDH的治疗方法却呈现多样化。关于最佳的治疗和随访方式一直存在争议。一些小儿骨科医师在患儿诊断为中心性DDH后立即使用支具或挽具进行治疗,而另一些医师则坚持"观望"政策进行初步观察。支具或挽具的选择以及临床随访的时间和频率也大不相同。并且目前尚存在令人困惑的问题,即一旦髋关节恢复正常,应该直接"立即"停止佩戴还是"逐步"停止佩戴支具或挽具。自1980年奥地利Reinhard Graf教授引入髋关节超声分类以来[2],超声检查在诊断和筛查中的作用逐步加强[3,4],因为临床检查并不能检测出所有患有DDH的婴儿[5,6]。目前,对DDH进行普遍的超声筛查在中欧国家非常流行。

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