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[1]王 娜,关步云,张遇乐,等.超声与磁共振成像对小儿发育性髋关节发育不良的诊断价值[J].分子影像学杂志,2017,(02):133.
 WANG Na,GUAN Buyun,ZHANG Yule,et al.Diagnostic value of ultrasound and magnetic resonance imaging in children withdevelopmental dysplasia of the hip[J].,2017,(02):133.
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超声与磁共振成像对小儿发育性髋关节发育不良的诊断价值(PDF)
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《分子影像学杂志》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2017年02期
页码:
133
栏目:
出版日期:
2017-04-20

文章信息/Info

Title:
Diagnostic value of ultrasound and magnetic resonance imaging in children with developmental dysplasia of the hip
作者:
王 娜关步云张遇乐肖伟强朱莉玲贺雪华王雨润
广州市妇女儿童医疗中心超声科,广东 广州 510120
Author(s):
WANG Na GUAN Buyun ZHANG Yule XIAO Weiqiang ZHU Liling HE Xuehua WANG Yurun
Department of Ultrasound, Guangzhou women and children medical center, Guangzhou 510120, China
关键词:
超声检查小儿发育性髋关节发育不良磁共振成像
Keywords:
ultrasonography pediatric developmental dysplasia of the hip MRI
分类号:
-
DOI:
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文献标志码:
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摘要:
目的 以磁共振成像(MRI)对小儿发育性髋关节发育不良(DDH)诊断结果为参考,探讨超声对DDH的诊断价值。方法 对 117例DDH患儿的117个髋关节进行超声和MRI检查,对比超声和MRI对DDH患儿髋关节病变检出的一致性,并对病变程度 进行分型,比较两者对病变程度诊断的一致性,最后比较超声和MRI对不同年龄诊断的一致性。结果 超声和MRI两种方法 对DDH患儿髋关节的骨性结构(髂骨、髋臼骨顶、股骨头)病变检出的一致性好(K=0.901-0.885,P<0.001),对髋臼软骨顶病变 检出的一致性差(K=0.093,P=0.151),对髋臼盂唇病变检出的一致性差(K=0.188,P=0.108),对关节囊病变检出的一致性差 (K=0.201,P=0.095)。超声和MRI对发育不良(GrafⅡa型、Ⅱb型与MRIⅠ型)的髋关节检出的一致性好(K=0.963,P<0.001),对 完全脱位(GrafⅢ型、Ⅳ型与MRIⅢ型)的髋关节检出的一致性好(K=0.897,P<0.001),对不完全脱位(GrafⅡc型、D型与 MRIⅡ型)的髋关节检出的一致性差(K=0.152,P=0.093)。超声和MRI对年龄≤6个月的DDH患儿检出的一致性好(K=0.819, P<0.001),对年龄>6个月的DDH患儿检出的一致性差(K=0.136,P=0.202)。结论 超声对于早期DDH的检出具有重要意义,有 利于随访观察以及指导临床治疗。
Abstract:
Objective To investigate the significance of ultrasound in the diagnosis of DDH. Methods The hip joints (117) in all DDH patients (117) were examined by ultrasound and MRI to compare the consistency of the results between the two methods. The classification was made according to the pathological degree. The consistence of the diagnosis results was compared in the two testing methods and patients in different ages. Results The diagonsis of ultrasound were consistent with that of MRI in the the results of bony structure (the ilium, the top of acetabulum and the femoral head ) of hip joints (K=0.901- 0.885, P<0.001). The diagonses of ultrasound and MRI have less consistence in the results of top of acetabulum cartilage lesions (K=0.093, P=0.151), in the glenoid labrum (K=0.188, P=0.108), and joint capsule (K=0.201, P=0.095) of hip joints in DDH patients. Additionally, the diagonsis of ultrasound were consistent with that of MRI in the results of hypogenetic hip joints (GrafⅡa type、Ⅱb typ and MRIⅠtype) (K=0.963, P<0.001), and in the complete hip joint dislocation (GrafⅢ type、Ⅳ type and MRIⅢ type) (K=0.897, P<0.001). The diagonses of ultrasound and MRI have less consistence in the results of incomplete hip joint dislocation (GrafⅡc type、D type and MRIⅡ type) (K=0.152, P=0.093). Finally, the diagonsis of ultrasound were consistent with that of MRI in the patients within 6 months (K=0.819, P<0.001). The diagonses of ultrasound and MRI have less consistence in the patients older than 6 months (K=0.136, P=0.202). Conclusion It is important to use DDH in early DDH for this method is benifit for follow-up observation and clinical treatment guidence.

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更新日期/Last Update: 1900-01-01