摘要先天性髋关节脱位(congenital dislocation of the hip,CDH)于1989年被更名为发育性髋关节发育不良(developmental dysplasia of the hip,DDH)。因为临床工作中发现,并不是所有DDH患者在出生时都存在髋关节病理性表现,部分患者出生时存在髋关节异常,但随着生长发育而逐渐好转;同时存在部分患者出生时髋关节正常,日后却逐渐出现关节发育不良、可复性半脱位或脱位,最终进展为不可复性脱位。DDH其临床表现是一个动态发展的过程,如果延误诊断会导致迟发性DDH,需要手术才能矫正,创伤大、并发症多,对患者及家庭都会造成严重的后果。因此,早期筛查、早期发现是非手术治疗DDH成功的关键。本文对DDH流行病学特征、目前国内外DDH早期筛查模式以及髋关节超声筛查方式的争议进行回顾分析。
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