摘要
目的观察股骨头坏死唇样骨切除术后患儿的短期临床疗效，探讨儿童股骨头坏死的治疗方法。方法我们收治4例（4髋）股骨头坏死患儿，男、女各2例。均曾因发育性髋关节脱位（DDH）接受保守治疗，后遗留髋关节半脱位伴股骨头坏死，手术治疗中因股骨头畸形使复位困难，遂用刀切除外翻的唇样骨及向外突出的赘骨部分，修整股骨头，达到满意的中心性复位。结果4例患儿均随访2～3年，疼痛均明显减轻或消失；3例无跛行，1例跛行改善；4例术前髋外展仅5°～10°，术后3例恢复至正常，1例获改善。头臼指数（AHI）术后平均达84．3％，CE角术后改善到25°。Sharp角恢复到31．5°。短期疗效评估：3例为优；1例为良。结论唇样骨切除术治疗儿童股骨头坏死短期疗效较好，髋部疼痛减轻，活动范围受限改善显著。
Objetive To observe the short term results of treatment of Legg-Calve-Perthes Disease （LCPD） in children with cheilectomy. Methods Four Developmental dysplasia of the hip （DDH） patients （4 hips） were included in this study, 2 boys and 2 girls respectively. All 4 patients received expectant treat- ment, and were left with sequelae of LCPD. Tile deformed femoral head made it difficult to pefform operative reduction. The valgus lip-like bone was removed hy knife. And the femoral head were mended to get satisfied central reduction. Results Satisfied clinical and X-ray manifestation were observed post 2 - 3 years follow-up. The pain was alleviated or disappeared in 4 hips. No obvious lameness was found in 3 hips, and improvement was found in 1 hip. Before operation the hip extension is only 5 to 10 degrees, after operation 3 hips returned to normality and 1 hip improved partly. AHI reached 84.3% avcragely, CE angle improved to 25 degrees, Shacp angle returned to 31.5 degrees. The short tern1 curative effect was evaluated, the 3 hips were excellent, 1 hip was good. Conclusion The cheilectomy is effective in treating Legg-Calve-PerLhes Disease in children. It can alleviate pain in hips and improve range of motion for shoot periods.
出处
《临床小儿外科杂志》
CAS
2013年第3期184-186,共3页
Journal of Clinical Pediatric Surgery
