双侧发育性髋关节脱位一期Salter骨盆截骨术

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 第11卷期数: 2012年02期页码: 117-119 栏目: 论著出版日期: 2012-04-28

作者:: 孙庆增史迎春秦海辉张凤飞; 徐州市儿童医院

关键词:: ; 髋脱位; 先天性; 骨疾病; 发育性; 骨盆; 截骨术

文献标志码:: A

摘要:: 目的探讨双侧发育性髋关节脱位一期Salter骨盆截骨术的安全性和近期疗效。方法双侧同时行Salter骨盆截骨术的发育性双侧髋关节脱位患儿48例（96髋），为观察组，取同期单侧分次Salter骨盆截骨术患儿66例（76髋），为对照组。比较两组术后关节功能、髋臼的X线表现、并发症发生率等。结果随访2年至5年6个月，按Mckay髋关节功能评价标准，观察组术后优良率为 9688％，对照组为98.68％；按Severin标准评定X线表现，病例组术后优良率为94.79％，对照组为9737％；股骨头无菌性坏死率观察组为4.17％，对照组为3.95％；髋关节功能不良的发生率在观察组及对照组分别为3.13％和1.32％。两组各项指标比较均无统计学意义。结论双侧同时行Salter骨盆截骨与单侧Salter骨盆截骨疗效相似，双侧Salter骨盆截骨治疗发育性双侧髋关节脱位安全有效。远期疗效有待进一步观察。

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