选择性超声波查部发育性形 - - 晚期诊断趋势日益增加
Acta orthopaedica Belgica
|June 9, 2023
概括
选择性查部发育性形 (DDH) 似乎是无效的,在英国,有着令人担忧的晚期诊断和增加手术干预的趋势. 早期诊断与部呈现等风险因素有关.
科学领域:
- 儿科整形医生 儿科整形医生
- 部发育性形 (DDH) 是一种疾病.
- 医学查的有效性 医学查的有效性
背景情况:
- 选择性超声波查DDH是一种常见的做法.
- 人们对当前查方案的效率低于最佳存在担忧.
- 确定DDH呈现和手术治疗的趋势至关重要.
研究的目的:
- 评估选择性超声波查DDH的有效性.
- 确定DDH的诊断和外科治疗的趋势.
- 评估风险因素对DDH诊断时间的影响.
主要方法:
- 对103名为DDH (1997-2018) 进行手术治疗的儿童进行了回顾性评估.
- 对人口统计数据,风险因素,诊断时的年龄和手术治疗的分析.
- 统计分析以确定诊断和转诊率的趋势.
主要成果:
- 60.2%的患者被诊断为晚期 (4个月后),在这个群体中,诊断年龄的中位数为18.5个月.
- 在研究期间观察到一个统计学上显著的晚期诊断的增加趋势.
- 晚期诊断需要更积极的手术管理,特别是在不可减小的关节位移.
结论:
- 目前英国的DDH选择性超声波查计划的有效性正在恶化.
- 迟诊断的DDH是普遍存在的,特别是在不可减小的部脱位.
- 风险因素,如部表现或家族病史,与早期诊断有关.
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