在部发育性形中,假阴性奥托拉尼和巴洛检查的危险因素
Si Heng Sharon Tan1, Joel Xue Yi Lim1, Andrew Kean Seng Lim1
1Department of Orthopaedic Surgery, National University Health System (NUHS) Tower Block Level 11, 1E Kent Ridge Road, Singapore 119074, Singapore.
Orthopaedics & traumatology, surgery & research : OTSR
|December 11, 2023
概括
使用Ortolani和Barlow机动的新生儿部查可以错过部发育性形 (DDH) 的病例. 部呈现是假阴性结果的重要危险因素,需要对受影响的婴儿进行超声波检查.
科学领域:
- 儿科 儿科 儿科
- 整形外科手术 整形外科手术
- 新生儿医学 新生儿医学
背景情况:
- 新生儿查部发育性形 (DDH) 通常使用奥托拉尼和巴洛机动.
- 这些临床检查的敏感性有限,导致潜在的错过诊断需要手术干预.
研究的目的:
- 用奥托拉尼和巴洛检查来确定新生儿DDH查中虚假阴性结果的风险因素.
- 确定已知的DDH风险因素是否也预测了错误的负面临床查.
主要方法:
- 这是一项为期14年的回顾性队列研究,对婴儿进行了DDH查.
- 新生儿科医生使用奥托拉尼/巴洛机动进行临床查.
- 具有危险因素和正常检查的婴儿接受了部超声波 (Graf,Harcke,Terjesen方法).
主要成果:
- 用超声波评估了164名正常临床检查和风险因素的婴儿.
- 19.5% (32/164) 的这些婴儿在超声波上显示出异常的部发现.
- 部表现是错误负的奥托拉尼/巴洛检查的唯一统计学上显著的风险因素 (p<0.001).
结论:
- 部呈现是新生儿部查错误阴性的一个关键风险因素.
- 建议对所有部呈现的婴儿进行超声波部检查,无论临床检查结果如何.
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