王浩 赫荣国 顾章平 王浩(北京，中国人民解放军总医院小儿外科 100853)赫荣国(北京，中国人民解放军总医院小儿外科 100853)顾章平(北京，中国人民解放军总医院小儿外科 100853) 中华小儿外科杂志 2000 0 21 1


    关键词：髋关节；髋脱位；先天性；骨科手术方法 期刊 zhxrwkzz 0 46-48 临床研究 fur -->


    

摘 要：目的 观察Staheli手术治疗儿童髋臼 发育不良的长期疗效。方法 采用McKay髋关节临床和WillettX线片评定标准，对术后3～7年的15例(16髋)的疗效予以评价。结果 临床优14例，15髋；良1例。X线片测量：髋臼指数术前为(35.13±5.52)°，术后为(11.81±5.71)°；CE角术前为(-0.13±7.21)°，术后为(42.50±4.58)°；髋臼覆盖股骨头的百分比：术前组为(47.18±15.12)%,术后组为(109.04±13.57)%。上述各项指标经两两配对t检验,P<0.001。结论 术式操作简便，对股骨头的覆盖非常充分、是治疗儿童特别是青少年髋臼发育不良的理想术式之一。

    Long-term results ofStaheli's procedure in treatment of hip displasia in children

WANG Hao, HE Rongguo, GU Zhangping

    (Department of Pediatric Surgery, General Hospital of PLA, Beijing 100853, China)

Abstract： Objective To evaluate the long-term resultsof Staheli's procedure for acetabular dysplasia in children.Methods Fifteen patients (16 hips) whowere followed-up from 3 to 7 years were assessed clinically with McKay Criteria andradiologically with Willett ass essment. Results Fourteen patients (15 hips) had excellent clinical resultsand one had good result. The acetabular index were 35.13+/-5.52 in the pre-operative groupand 11.81+/-5.71 in the post-operative group. The CE angle was -0.13+/-7.21 in thepre-operative group and 42.50+/-4.58 in the post-operative group. The percentage ofacetabular cover was 47.18+/-15.12 in the pre-operative group and 109.04+/-13.57 in thepost-operative group. Conclusion Staheli's procedure is a relatively simple and reliableoperation for acetabular dysplasia, especially older children.

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