摘要
目的:探讨Pavlik吊带治疗早期发育性髋关节发育不良(DDH)临床疗效的影响因素。方法:回顾性收集2020年1月至2024年6月郑州大学第一附属医院收治的148例(214髋)接受Pavlik吊带治疗的DDH患儿资料,根据疗效分为显著组与不显著组,比较两组的一般资料,并采用Logistic回归分析Pavlik吊带治疗效果的影响因素。结果:DDH患儿总体治愈率为68.9%(102/148)。与疗效不显著组比较,显著组女婴和髋脱位型(Graf D、Ⅲ、Ⅳ型)患儿少,开始治疗月龄小,平均每月随访次数多(P<0.05)。及早开始吊带治疗和平均每月随访次数>1次的患儿疗效较好,髋脱位型患儿疗效较差,OR(95%CI)分别为0.123(0.056~0.271)、3.999(1.386~11.535)和0.033(0.005~0.210)。结论:及早开始Pavlik吊带治疗和实施系统性、规范化的随访是改善DDH预后的关键,尤其对于髋脱位型患儿。
Aim:To investigate influencing factors of Pavlik harness therapeutic efficacy for early developmental dysplasia of the hip(DDH).Methods:This retrospective study analyzed 148 children(214 hips)treated with Pavlik harness at the First Affiliated Hospital of Zhengzhou University(January 2020 to June 2024).According to therapeutic efficacy,the children were stratified into significant and non-significant groups.Comparative analysis of clinical characteristics and Logistic regression for influencing factors of Pavlik harness therapeutic efficacy were performed.Results:The overall cure rate was 68.9%(102/148).Compared with non-significant group,the significant group had fewer female infants and hip dislocation cases(Graf D,Ⅲ,Ⅳ),but more prevalence of younger initiation treatment age and more frequent monthly follow-ups(P<0.05).Early harness treatment initiation and>1 monthly follow-up predicted better outcomes,while hip dislocation types showed poorer efficacy,with OR(95%CI)of 0.123(0.056-0.271),3.999(1.386-11.535),and 0.033(0.005-0.210),respectively.Conclusion:Early Pavlik harness intervention and systematic and standardized follow-up protocols are critical for optimizing DDH prognosis,particularly in hip dislocation cases.
作者
邹鑫磊
张杰
史龙彦
张辉
宋东建
苏萌
汪奇
赵昀政
尹梦雯
李潮
梁鹏伟
高晓斌
刘秋亮
ZOU Xinlei;ZHANG Jie;SHI Longyan;ZHANG Hui;SONG Dongjian;SU Meng;WANG Qi;ZHAO Yunzheng;YIN Mengwen;LI Chao;LIANG Pengwei;GAO Xiaobin;LIU Qiuliang(Department of Pediatric Surgery,the First Affiliated Hospital,Zhengzhou University,Zhengzhou 450052;Hongshankou Outpatient Department,Beijing North Medical District,PLA General Hospital,Beijing 100091)
出处
《郑州大学学报(医学版)》
北大核心
2025年第3期305-309,共5页
Journal of Zhengzhou University(Medical Sciences)
基金
河南省医学科技攻关计划省部共建项目(SB201901019)
河南省科技厅高端外国专家引进计划项目(HNGD2021032)
河南省教育厅高等学校重点科研项目计划(23A320054)
河南省中青年卫生健康科技创新领军人才培养项目(YXKC2022013)。
