摘要
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。
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.
出处
《南京医科大学学报（自然科学版）》
CAS
CSCD
北大核心
2007年第9期1020-1022,共3页
Journal of Nanjing Medical University(Natural Sciences)
