文章摘要
徐超 严亚波 黄鲁豫 雷伟.Pavlik吊带治疗早期发育性髋关节脱位的研究进展[J].,2016,16(9):1774-1777
Pavlik吊带治疗早期发育性髋关节脱位的研究进展
Progress of Pavlik Harness in the Treatment of the Developmental Dysplasiaof the Hip in the Early Stage
  
DOI:
中文关键词: 发育性髋关节脱位  超声筛查  Pavlik 吊带  治疗
英文关键词: Developmental dysplasia of the hip  Ultrasound screening  Pavlik harness  Treatment
基金项目:国家自然科学基金项目(81301292)
作者单位
徐超 严亚波 黄鲁豫 雷伟 第四军医大学附属西京医院骨科解放军522医院 
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中文摘要:
      发育性髋关节脱位(Developmental dysplasia of the hip, DDH)是指一系列髋关节结构异常的疾病,病变严重程度涵盖轻度髋 臼发育不良到不可逆的髋关节脱位。DDH的治疗手段进展迅速,但早期闭合复位使用最多的仍是Pavlik 吊带。通过超声可监测髋 关节复位情况从而评估Pavlik 吊带的治疗效果。同时,随着超生髋关节检查技术在我国的推广,使得早期诊断DDH成为可能,这 也促进了Pavlik 吊带在临床的应用。未来研究的方向在于制定基于询证医学证据的Pavlik 吊带使用规范和开发出效果更好、并 发症更少的新型支具。
英文摘要:
      Developmental hip dysplasia of the hip (DDH) is a series of structural abnormalities of the hip joint, the severity of the DDH ranges frommild dysplasia of the acetabular to irreversible dislocation of the hip. Treatment of DDH is rapidly progressing, but the Pavlik harness is still accepted by most surgeons as the initial treatment of closed reduction for DDH in the early stage. Ultrasonographic screening can monitor the situation of the hip reduction with Pavlik harness and can also assess the therapeutic effect. Meanwhile, with the promotion of the hip ultrasonography in our country, it is possible to make an early diagnosis of DDH, which also contributed to the clinical application of the Pavlik harness. The direction of future research is to develop a treatment guideline depending on the evidence- based medicine practices for the use of the Pavlik harness and to devise new braces which are more effective and fewer complications.
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