Pavlik吊带治疗早期发育性髋关节脱位的研究进展 |
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引用本文: | 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].现代生物医学进展,2016,16(9):1774-1777. |
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作者姓名: | 徐超 严亚波 黄鲁豫 雷伟 |
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作者单位: | 第四军医大学附属西京医院骨科;解放军522医院 |
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基金项目: | 国家自然科学基金项目(81301292) |
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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。
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关 键 词: | 发育性髋关节脱位 超声筛查 Pavlik 吊带 治疗 |
Progress of Pavlik Harness in the Treatment of the Developmental Dysplasia
of the Hip in the Early Stage |
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Abstract: | 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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Keywords: | Developmental dysplasia of the hip Ultrasound screening Pavlik harness Treatment |
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