超声改良Morin法在婴儿发育性髋关节发育不良筛查中的应用

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 第14卷期数: 2015年03期页码: 206-209 栏目: 论著出版日期: 2015-06-28

作者:: 陈丹祁丹马小燕; 广东省妇幼保健院超声诊断科

关键词:: ; 髋关节/生长和发育; 超声检查; 普查; 婴儿

文献标志码:: A

摘要:: 目的评估改良Morin超声测量法在婴儿髋关节发育不良(DDH) 筛查中的作用。方法分别运用改良Morin、Graf超声测量法对4 318名6月龄以内婴儿8636侧髋进行筛查。采用一致性检验、Kappa系数检验筛查DDH的效果；统计5名主治医师和5名住院医师测量10例可疑DDH的股骨头覆盖率（FHC），通过组内相关系数了解不同经验水平的超声医师运用改良Morin法是否存在差异。结果①运用改良Morin、Graf法DDH检出率分别为0.8‰、1.3‰。改良Morin法筛查出正常与异常髋关节(松弛、半脱位、脱位)比例为99.92%、0.08%；Graf法筛查出正常(Ⅰ、Ⅱa型)与异常髋关节(Ⅱb、ⅡC、D、Ⅲ、Ⅳ型)比例为99.87%、0.13%。②两种筛查方法筛查DDH的效果一致性好。③不同经验者运用Morin法可靠性接近。结论改良Morin法以百分数的表达方式、简单的分型标准，达到传统Graf法筛查婴儿DDH的效果，不同经验者均可进行诊断，可以作为筛查婴儿DDH的首选简便手段。

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