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中华关节外科杂志(电子版) ›› 2024, Vol. 18 ›› Issue (04) : 497 -504. doi: 10.3877/cma.j.issn.1674-134X.2024.04.009

综述

小儿发育性髋关节发育不良诊治的研究进展
何淳诺1, 田志敏1, 李焕玺1, 吴昊越2, 庄凯鹏3, 周胜虎3, 张浩强3,†()   
  1. 1. 730000 兰州,甘肃中医药大学第一临床医学院;730000 兰州,解放军联勤保障部队第九四〇医院关节外科
    2. 730000 兰州,甘肃中医药大学第一临床医学院;750000 银川,宁夏医科大学
    3. 730000 兰州,解放军联勤保障部队第九四〇医院关节外科
  • 收稿日期:2024-03-28 出版日期:2024-08-01
  • 通信作者: 张浩强
  • 基金资助:
    甘肃省自然科学基金项目(22JR5RA009); 兰州市人才创新创业项目(2023-2-28); 第九四〇医院院内科研基金项目(2023YXKY036)

Research progress in diagnosis and treatment of pediatric developmental hip dysplasia

Chunnuo He1, Zhimin Tian1, Huanxi Li1, Haoyue Wu2, Kaipeng Zhuang3, Shenghu Zhou3, Haoqiang Zhang3,†()   

  1. 1. The First Clinical College of Gansu University of Traditional Chinese Medicine, Lanzhou 730000, China;Department of Joint Surgery, the 940th Hospital of PLA Joint Logistics Support Force, Lanzhou 730000, China
    2. The First Clinical College of Gansu University of Traditional Chinese Medicine, Lanzhou 730000, China;Ningxia Medical University, Yinchuan 750000, China
    3. Department of Joint Surgery, the 940th Hospital of PLA Joint Logistics Support Force, Lanzhou 730000, China
  • Received:2024-03-28 Published:2024-08-01
  • Corresponding author: Haoqiang Zhang
引用本文:

何淳诺, 田志敏, 李焕玺, 吴昊越, 庄凯鹏, 周胜虎, 张浩强. 小儿发育性髋关节发育不良诊治的研究进展[J/OL]. 中华关节外科杂志(电子版), 2024, 18(04): 497-504.

Chunnuo He, Zhimin Tian, Huanxi Li, Haoyue Wu, Kaipeng Zhuang, Shenghu Zhou, Haoqiang Zhang. Research progress in diagnosis and treatment of pediatric developmental hip dysplasia[J/OL]. Chinese Journal of Joint Surgery(Electronic Edition), 2024, 18(04): 497-504.

小儿发育性髋关节发育不良(DDH)是一种常见的累及髋关节的骨科疾病,往往会引起髋关节畸形和功能障碍,后期进展为髋骨关节炎及股骨头坏死等严重后果。DDH病因机制非常复杂,是一种多基因遗传病。不同年龄段DDH患儿的临床症状和体征的差异很大,患儿随年龄的增大以及关节的发育,病情会逐渐加重,若未尽早规范诊疗,患儿将会在较早的年龄段进展至关节炎期,最终不得不选择人工关节置换术来重建正常髋关节结构和功能。因此,及早对DDH进行诊断和治疗,对纠正患儿的生长发育和提高其未来生活质量都有重要意义。尽管已有相当多的研究提供DDH的诊治方式,但对不同患儿采用何种诊治方法仍缺乏统一和准确的临床指导。本文就对不同年龄段、脱位严重程度的DDH患儿采用何种针对性和阶梯化诊治方案以及人工智能等数字化技术的辅助诊治进行综述,旨在进一步提高对该疾病的诊治水平。

Pediatric developmental dysplasia of the hip is a common orthopedic disease involving the hip joint, which often causes hip deformity and dysfunction, and later progresses to osteoarthritis of the hip and necrosis of the femoral head, etc. The etiological mechanism of DDH is very complex, and it is a polygenic genetic disease. The clinical symptoms and signs of DDH vary greatly among different age groups, and the condition of the children will gradually worsen with age and joint development. If the disease is not standardized as early as possible, the children will progress to the arthritic stage at an early age, and ultimately, they have to choose artificial joint replacement to rebuild the normal structure and function of the hip joint. Therefore, early diagnosis and treatment of DDH are important for correcting the growth and development of children and improving their future quality of life. Although a considerable number of studies have been conducted to provide diagnosis and treatment of DDH, there is still a lack of uniform and accurate clinical guidance on what diagnosis and treatment should be used for different children. This article reviewed the targeted and stepwise diagnostic and treatment options for children with DDH of different ages and severity of subluxation, as well as the use of artificial intelligence and other digital technologies to assist in the diagnosis and treatment of DDH, with the aim of further improving the diagnosis and treatment of this disease.

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