Objective To evaluate the value of ultrasonic Graf methods in screening developmental dysplasia of the hip (DDH)in infants .Methods 1 580 cases of 0-6 monthes old infants without severe limb anomalies were examined .Bilateral hip joints were examined mcluded analyzed according to Graf method .Results A total of 1 580 cases included 3 160 hip joints were analyzed ,827 were male (52 .34% ) and 753 were female (52 .34% ) among them .104 cases (6 .58% ) were diagnosed with abnormalities of the hip joints .Among the 104 cases ,88 cases (5 .57% ) were type Ⅱa hip joints ,9 cases (0 .57% ) were type Ⅱ b ,5 cases (0 .32% ) were type Ⅱc ,1 case (0 .06% ) and 1 case (0 .06% ) were type Ⅲ and type Ⅳ respectively .In each month of age abnormalities of the hip joints were diagnosed as followed :79 cases(9 .69% ) were one month old ,13 cases (3 .98% ) were two month old ,2 cases (2 .15% ) were three month old ,6 cases (2 .26% ) were four month old ,1 cases (2 .44% ) was five month old and 3 cases (7 .69% ) were six month old .Conclusion Ultrasonic Graf method can provide the basic data for incidence of developmental dysplasia of hip in infants in local region and may be helpful to offer the related standards for early screening the abnormalities of the hip joints .%目的：探讨超声格拉夫（Graf）法在婴幼儿发育性髋关节异常（DDH）早期筛查中的应用价值。方法对1580例无严重肢体畸形的0～6个月龄婴幼儿（包括3160个髋关节），其中，依据超声Graf法行双侧髋关节检查，并进行分析。结果1580例婴幼儿，男827例（52．34％），女753例（47．66％），超声诊断为异常髋关节104例（6．58％），其中Ⅱa型髋关节88例（5．57％），Ⅱb型髋关节9例（0．57％），Ⅱc型髋关节5例（0．32％），Ⅲ型髋关节1例（0．06％）），Ⅳ型髋关节1例（0．06％）。各月龄异常髋关节检出值分别为：1月龄79例（9．69％），2月龄13例（3．98％），3月龄2例（2．15％），4月龄6例（2．26％），5月龄1例（2．44％），6月龄3例（7．69％）。结论超声Graf法有助于为该地区DDH发病率提供基本数据，为开展婴幼儿髋关节早期超声筛查提供相关标准。
展开▼
