Hou Peisi,Liu Wanlin,Zhao Zhenqun,et al.Application of ultrasound screening of hip joint and screening system in early diagnosis of infant developmental hip dysplasia[J].Journal of Clinical Pediatric Surgery,2023,22(05):480-484.[doi:10.3760/cma.j.cn101785-202211058-015]
髋关节超声筛查及筛查体系在婴幼儿发育性髋关节发育不良早期诊断中的应用进展
- Title:
- Application of ultrasound screening of hip joint and screening system in early diagnosis of infant developmental hip dysplasia
- Keywords:
- Hip Joint; Bone Diseases; Developmental; Ultrasonography; Surgical Procedures; Operative; Child
- 摘要:
- 发育性髋关节发育不良 (developmental dysplasia of the hip,DDH) 是婴幼儿时期常见的骨骼系统疾病之一。DDH在婴幼儿期容易被忽视,如不能及早诊断,错失最佳治疗时机,会影响髋关节功能,难以纠正关节畸形,进而导致终身残疾。目前髋关节超声检查已成为公认的早期DDH影像学诊断金标准,包括选择性超声筛查模式和普遍性超声筛查模式。近年来,DDH筛查网络体系(即转诊、筛查、确诊、治疗一体化的网络体系)已在中国部分地区实施,可将DDH的初诊时间提前,并保证诊治流程的系统化。人工智能影像技术也逐步应用于婴幼儿DDH的辅助诊断。本文概述了DDH患儿早期接受超声筛查的必要性,并对不同超声筛查技术和国内外筛查模式及体系进行综述,为今后DDH患儿实施有效的髋关节超声筛查和综合干预提供参考。
- Abstract:
- Developmental dysplasia of the hip (DDH) is one of the most common and yet easily ignored skeletal diseases in infants.If a definite diagnosis is delayed and optimal treatment time missed,hip function shall be severely affected.Difficult correcting of joint deformities lead to permanent disability.Currently hip ultrasound has become a gold standard for its early diagnosis,including selective and universal ultrasonic screening modes.However,unification of screening modes has not been achieved.In recent years,DDH screening network system has been implemented in some areas of China,including referral,screening,diagnosis and treatment.It may effectively improve the flows of its initial and systematic diagnoses.Artificial intelligence imaging technology of DDH is also gradually popularized.This review summarized the necessity of early ultrasonic screening for pediatric DDH and discussed different ultrasonic screening techniques and modes between China and foreign countries.It was intended to provide references for effective ultrasonic screening of hip joint and comprehensive interventions for DDH patients in the future.
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备注/Memo
收稿日期:2022-11-29。
基金项目:2019年度内蒙古自治区关键技术攻关计划项目(科技计划)资助(2019GG153)
通讯作者:刘万林,Email:1641972958@qq.com