儿童创伤性髋关节脱位26例疗效分析

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 第14卷期数: 2015年05期页码: 391-394 栏目: 论著出版日期: 2015-10-28

作者:: 沈品泉徐卫东赵黎; 上海第二军医大学

关键词:: ; 髋关节; 创伤和损伤; 脱位 ; 儿童

文献标志码:: A

摘要:: 目的回顾性分析儿童创伤性髋关节脱位的治疗情况，探讨其治疗策略。方法收集26例创伤性髋关节脱位患儿临床资料，采用手法复位或切开复位治疗，对治疗结果进行Harris髋关节评分，根据治疗方法和年龄大小分组评估疗效。结果得到随访的22例患儿中，12例于急诊室早期复位成功，均为低能量创伤；入院治疗10例中，5例在麻醉下行髋关节闭合复位获成功，5例行髋关节切开复位。急诊室早期复位和入院复位治疗两组病例2年后髋关节评分分别为98.5和87.8，>8岁与<8岁两组病例2年后髋关节评分分别为86.6和99.1。急诊室早期复位和< 8岁病例的治疗效果优于入院治疗和年龄>8岁组。结论儿童创伤性髋关节脱位治疗要早，需尽早进行关节复位，必要时行切开复位治疗，低年龄、低能量损伤的儿童具有更好的治疗结果。

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