髂骨下肢线在婴儿髋关节超声图像中的研究分析
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1.临沂市中医医院;2.临沂市肿瘤医院;3.泰州市妇幼保健所

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The researching of lower limb line in infant’s hip sonograms
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1.LinYi Traditional Chinese Medicine Hospital;2.LinYi Tumor Hospital;3.TaiZhou Maternal and Child Health Health Center

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    摘要:

    目的 研究髂骨下肢线在评价髋关节超声图像中婴儿髋关节发育的诊断价值,为临床医生评价婴儿髋关节发育提供参考。方法 运用Graf法对863名婴儿髋关节进行检查,观察在不同类型婴儿髋关节超声图像中髂骨下肢线与股骨头位置关系,分别计算髂骨下肢诊断婴儿髋关节脱位的灵敏度,特异度,假阴性率,假阳性率,阳性预测值,阴性预测值。 结果 在1726张婴儿髋关节超声图像中,髂骨下肢线检测脱位婴儿髋关节的灵敏度为78.7%,特异度89.3%,阳性预测值21.2%,阴性预测值99.1%。髂骨下肢线检测发育不成熟婴儿髋关节的灵敏度为25.4%;特异度为97.3%;阳性预测值为88.9%;阴性预测值为60.7%。单个婴儿髂骨下肢线阴性侧髋关节发育要好于髂骨下肢线阳性侧髋关节。结论 采用Graf法检测婴儿髋关节时,增加髂骨下肢线以判断股骨头在髋臼内是否移位,有助于临床医生全面评估髋关节发育情况。

    Abstract:

    Objective To study the diagnostic value of the lower limb line in evaluating the development of infants in hip sonograms, and to provide reference for clinicians to determine the development of infant hip. Methods The Graf method was used to examine 863 infants, and observe the relationship between the lower limb line and the femoral head in different types of infant’s hip sonograms. and the sensitivity, specificity, positive predictive value and negative predictive value of the lower limb line were calculated respectively. Results In 1726 infants hip sonograms, the sensitivity of the lower limb line in diagnosing infant’s hip dislocation was 78.7%, specificity 89.3%, positive predictive value 21.2%, negative predictive value 99.1%. The sensitivity of the lower limb line in diagnosing infant’s hip immature was 25.4%, specificity 97.3%, positive predictive value 88.9%, negative predictive value 60.7%. For one baby, whose hip is negative of the lower limb line developed better than another hip which is positive of the lower limb line. Conclusions Detecting an infant’s hip with the Graf method, the lower limb line is added to judge whether the femoral head is shifting in the acetabulum, which is helpful for clinicians to judge the development of the infant’s hip more comprehensively.

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  • 收稿日期:2023-06-17
  • 最后修改日期:2023-07-02
  • 录用日期:2023-09-04
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