Staheli槽式髋臼延伸术治疗儿童Perthes病
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Staheli’s slotted acetabular augmentation in the treatment of Perthes disease in children
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    目的:探讨Staheli槽式髋臼延伸术治疗儿童Perthes病的手术适应证及治疗经验-方法:回顾分析2004年1月以来本院采用Staheli槽式髋臼延伸术治疗儿童Perthes病26例-其中,男22例,女4例-右侧18例,左侧8例-手术年龄6岁1个月~14岁3个月,平均7岁2个月-按Catterall分级,Ⅱ级3例-Ⅲ级12例-Ⅳ级11例-结果:术后随访6个月~3年,平均2年1个月-按Mckay标准评定髋关节功能,询问有无髋关节疼痛-跛行,检查髋关节活动程度以及Trendelenburg征,术后优良率达98.16%-X线片随访,采用Willett等正位骨盆片对比测量法,测量骺高比-髋臼覆盖率-CE角-Sharp角,观察Shenton线连续性-股骨头形态-骺高比-髋臼覆盖率-CE角明显增大,Sharp角明显减小,Shenton线连续性-股骨头形态均明显好转-结论:Staheli槽式髋臼延伸术治疗儿童Perthes病手术疗效满意,为治疗儿童Perthes病的一种理想术式-

    Abstract:

    Objective:To study the indication and the experiences of Staheli’s slotted acetabular augmentation in the treatment of Perthes disease in children. Methods:Twenty-six patients with Perthes disease were treated by Staheli’s slotted acetabular augmentation. The series consisted of 22 boys and 4 girls(right 18 cases,left 8 cases). According to Catterall’s classification,3 cases were graded as group Ⅱ,12 cases were graded as group Ⅲ,11 cases were graded as group Ⅳ. Results:All patients were successfully followed up for a period from 6 months to 3 years(the mean of 2 years and 1 months),and were assessed clinically with Mckay Criteria and radiologically with Willett assessment. The clinical results showed that the overall excellent or good rate was 98.16%. The radiological results showed that epiphyseal heigh,percentage of acetabular cover and center edge angle significantly increased(P < 0.001),Sharp angle significantly decreased(P < 0.001),the continuity of Shenton’s line and the form of femoral head was obviously improved. Conclusion:Staheli’s slotted acetabular augmentation should be an effective procedure for treating Perthes disease in children.

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张志群,唐 凯,潘新华,夏榕圻,范毓华,黄禄基,林 刚,楼 跃. Staheli槽式髋臼延伸术治疗儿童Perthes病[J].南京医科大学学报(自然科学版),2007,(4):1020-1022

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  • 收稿日期:2007-04-09
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