2486例婴儿发育性髋关节异常的超声诊断分析
郑建平，娄睿，王玉梅，
薛景莉，刘春涛，闫晓亚
中图分类号
Ultrasound Diagnosis Analysis for 2486 Cases of Infant Developmental
Dysplasia of the Hip
ZHENG Jian-ping, LOU Rui,
WANG Yu-mei, XUE Jing-li,
LIU Chun-tao, YAN Xiao-ya
Department of Ultrasound, Maternal and
Child Health Care Hospital of Dongchangfu
District, Liaocheng Shandong 252000, China
摘要 目的 探讨高频超声在婴儿发育性髋关节异常（DDH）筛查和诊断中的应用价值。方法 选
取6个月以内婴儿2486例，采用高频线阵探头按照Graf检查法，观察髋关节骨性髋臼、骨性髋臼
外侧缘及软骨性髋臼的形态，测量α角、β角，并对髋关节进行Graf分型，划分出正常类型、可疑
类型、异常类型。结果 2486例婴儿共4972个髋关节，其中正常3558个，占71.6%；异常110个，
占2.2%；可疑共1304个，占26.2%。1304个可疑髋关节，2个月后经X线检查及超声复查，诊断
髋关节正常1259个，异常45个。综合两次检查结果，婴儿发育性髋关节异常共155个，检出率为
3.1%。结论 高频超声检查能对婴儿的髋关节发育情况进行客观评估，提供有价值的临床资料，
可作为婴儿DDH早期筛查和诊断的重要手段。
关键词 ：
婴儿发育性髋关节异常 ,
高频超声 ,
Graf检查法
Abstract ：Objective To discuss the effectiveness of application of high-frequency ultrasound in the
screening and diagnosis of infant DDH (Developmental Dysplasia of the Hip). Methods Altogether 2486
cases of DDH infants who were less than 6 months old were selected and scanned by using the highfrequency
linear array probe, and then were inspected according to Graf examination methods so as to
observe the acetabular hip bone, the lateral acetabular rim hip bone and cartilage acetabular morphology.
Then, α angle and β angle of the hip were measured respectively to classify the Graf type into the normal
type, suspicious type and the exception type.
Key words ：
infant developmental dysplasia of the hip
high-frequency ultrasonography
Graf
examination methods
收稿日期: 2015-09-08
基金资助: 首都临床特色应用研究与成果推广（Z151100004015116）
通讯作者:
彭红芬
E-mail: zhengjianping9999@163.com
作者简介 :
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