{"countAll":0,"orderType":null,"readLevel":"0","lyTopicReq":{"id":"1195","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":null,"content":null,"barId":"1195","topicTypeId":null,"topicThemeId":"1029","readLevel":0,"files":null,"clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":null},"lyBarModerators":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":8,"pageNumber":0,"totalPage":0,"totalRow":0},"metaSearch":{"description":"为您提供:小儿髋关节脱位的表现_小儿髋关节脱位症状等相关信息，让病友在便捷的求医路上不花一分冤枉钱。","keywords":"小儿髋关节脱位的表现_小儿髋关节脱位症状","title":"小儿髋关节脱位的表现_小儿髋关节脱位症状","channels":null},"data":{"list":[{"id":"12328","isDel":0,"createAt":1517906348553,"createBy":"8abb11d0af1511e7a3d800163e04584d","createName":"良药苦口","updateAt":0,"updateBy":null,"updateName":null,"userId":"8abb11d0af1511e7a3d800163e04584d","title":"专家教您如何判断小儿髋关节脱位的症状","content":"<p style=\"margin-top: 5px;margin-right: 0;margin-bottom: 5px;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体; letter-spacing: 0px;\">小儿髋关节脱位的症状是很好判断的，找良医网在本文中教大家认识</span><strong><span style=\"font-family: 宋体; letter-spacing: 0px;\">小儿髋关节脱位</span></strong><span style=\"font-family: 宋体; letter-spacing: 0px;\">的症状，其实，家长可以通过一些观察判断孩子是否有类似病症。具体如下所述：</span></p><p style=\"margin-top: 5px; margin-right: 0px; margin-bottom: 5px; text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1517906458820.jpg\" title=\"专家教您如何判断小儿髋关节脱位的症状\" alt=\"专家教您如何判断小儿髋关节脱位的症状\" width=\"600\" height=\"372\"/>&nbsp;</span></p><p style=\"margin-top: 5px;margin-right: 0;margin-bottom: 5px;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><br/></span></p><p style=\"margin-top: 5px;margin-right: 0;margin-bottom: 5px;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">首先，可以通过孩子学走路的情况判断有无异常。如果孩子走路一跛一跛或向两侧摇摆，犹如鸭子走路，或是站立时腰部向前凸出明显，就有可能是髋关节脱位。很多家长都误以为这是孩子刚学走路时的正常动作，甚至将其当成</span>X形腿和O形腿问题，延误了治疗。</span></p><p style=\"margin-top: 5px;margin-right: 0;margin-bottom: 5px;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top: 5px;margin-right: 0;margin-bottom: 5px;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">其次，让孩子平躺于床上，先将其膝盖弯曲至</span>90°，然后将髋部缓慢外展，看能否平置于床上。建议孩子出生后即做个简单的“蛙氏试验”检查：将孩子屈膝屈髋，外展开髋关节，展开顺利为正常，否则就需要到医院进一步检查。</span></p><p style=\"margin-top: 5px;margin-right: 0;margin-bottom: 5px;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top: 5px;margin-right: 0;margin-bottom: 5px;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">另外，可观察孩子的臀纹及股纹是否对称、孩子的髋关节处有没有弹响或异常活动等，如发现异常，及早让骨科医生检查治疗。</span></p><p style=\"margin-top: 5px;margin-right: 0;margin-bottom: 5px;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top: 5px;margin-right: 0;margin-bottom: 5px;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">找良医网温馨提示：如有身体不适，请及时就医！</span></p><p><br/></p>","barId":"1195","topicTypeId":"2","topicThemeId":"1029","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1583,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1517906348555,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1517906348555,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"8abb11d0af1511e7a3d800163e04584d","isDel":0,"createAt":1507789271266,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"良药苦口","password":"zx13401068656","level":0,"nickName":"周良药","realName":null,"signName":"良药苦口利于病，忠言逆耳利于行！","head":"http://01luntan.com/ly_img/1516263139285.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"langlixunta@163.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110114","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"12323","isDel":0,"createAt":1517904754853,"createBy":"8abb11d0af1511e7a3d800163e04584d","createName":"良药苦口","updateAt":0,"updateBy":null,"updateName":null,"userId":"8abb11d0af1511e7a3d800163e04584d","title":"专家告诉您小儿髋关节脱位症状有哪些","content":"<p style=\"margin-top: 5px;margin-right: 0;margin-bottom: 5px;text-indent: 32px;line-height: 200%\"></p><p style=\"margin-top: 5px;margin-right: 0;margin-bottom: 5px;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">在我国小儿先天性疾病中，</span><strong><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">小儿髋关节脱位</span></strong><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">是比较常见的，该疾病是先天性畸形之一，以后脱位多见，出生时即存在，女多于男，约</span>6：1，左侧比右侧多一倍，双侧者较少，主要由于髋臼、股骨头、关节囊、韧带和附近肌肉先天性发育不良或异常，导致关节松弛，半脱位或脱位，此外，胎儿在子宫内位置不正常，髋关节过度屈曲，也易致本病，另外遗传因素也较明显。</span></p><p style=\"margin-top: 5px; margin-right: 0px; margin-bottom: 5px; text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1517905013933.jpg\" title=\"专家告诉您小儿髋关节脱位症状有哪些\" alt=\"专家告诉您小儿髋关节脱位症状有哪些\" width=\"600\" height=\"372\"/></span></p><p style=\"margin-top: 5px;margin-right: 0;margin-bottom: 5px;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top: 5px;margin-right: 0;margin-bottom: 5px;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">找良医网告诉您，新生儿和婴儿临床表现较轻，症状常常不明显发现有下列体征时应视为有先天性髋关节脱位的可能：</span></p><p style=\"margin-top: 5px;margin-right: 0;margin-bottom: 5px;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top: 5px;margin-right: 0;margin-bottom: 5px;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">1、两侧大腿内侧皮肤皱褶不对称，患侧皮皱加深增多；</span></p><p style=\"margin-top: 5px;margin-right: 0;margin-bottom: 5px;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top: 5px;margin-right: 0;margin-bottom: 5px;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">2、患儿会阴部增宽，双侧脱位时更为明显；</span></p><p style=\"margin-top: 5px;margin-right: 0;margin-bottom: 5px;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top: 5px;margin-right: 0;margin-bottom: 5px;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">3、患者髋关节活动少，活动时受限。蹬踩力量较健侧弱。常处于屈曲位，不能伸直；</span></p><p style=\"margin-top: 5px;margin-right: 0;margin-bottom: 5px;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top: 5px;margin-right: 0;margin-bottom: 5px;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">4、患者肢体短缩；</span></p><p style=\"margin-top: 5px;margin-right: 0;margin-bottom: 5px;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top: 5px;margin-right: 0;margin-bottom: 5px;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">5、牵拉患者下肢时有弹响声或弹响感，有时患者会哭闹。</span></p><p style=\"margin-top: 5px;margin-right: 0;margin-bottom: 5px;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top: 5px;margin-right: 0;margin-bottom: 5px;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">找良医网温馨提示：如有身体不适，请及时就医！</span></p><p><br/></p>","barId":"1195","topicTypeId":"2","topicThemeId":"1029","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1522,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1517904754854,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1517904754854,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"8abb11d0af1511e7a3d800163e04584d","isDel":0,"createAt":1507789271266,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"良药苦口","password":"zx13401068656","level":0,"nickName":"周良药","realName":null,"signName":"良药苦口利于病，忠言逆耳利于行！","head":"http://01luntan.com/ly_img/1516263139285.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"langlixunta@163.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110114","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"11193","isDel":0,"createAt":1516100927726,"createBy":"db869ccaaef711e7a3d800163e04584d","createName":"海绵宝宝","updateAt":0,"updateBy":null,"updateName":null,"userId":"db869ccaaef711e7a3d800163e04584d","title":"小儿髋关节脱位手术后可完全恢复正常吗","content":"<p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><br/></p><p style=\"margin-right: 0px; margin-left: 0px; text-indent: 32px; text-align: center; line-height: 200%;\"><img src=\"http://01luntan.com/ly_img/uimgs/1516101812823.jpg\" title=\"小儿髋关节脱位手术后可完全恢复正常吗\" alt=\"小儿髋关节脱位手术后可完全恢复正常吗\" width=\"600\" height=\"372\"/></p><p style=\"margin-right: 0px; margin-left: 0px; text-indent: 32px; line-height: 200%;\"><br/></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">先天髋关节脱位脱位，一样平常的发病率北方为</span>0.3％阁下，女孩多于男孩，左边多于右边。</span><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">小儿髋关节脱位</span></strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，越早医治规复的越好，假如医治不</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">及时</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">就会形成残疾。大意的家长一样平常要到孩子开端学走路的时刻才会发现有一些非常。如：孩子走路一跛一跛；或者是向双侧一摇一摆，如同鸭子走路；马上孩子腰部向前凸出得分外显著。这些都有可能是</span><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">小儿髋关节脱位</span></strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">的表示。一些家长短缺知识会以为是小孩刚会走路时的失常举措，或是将其当做是</span>X形腿和O形腿等问题，这</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">些就容易延误治疗。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">小儿髋关节脱位</span></strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">最先表示是髋的外展外旋受限制，让孩子平躺于床上先将其膝盖弯曲至</span>90度，将髋部缓慢外展，不能平置于床上等。建议小儿出生后做个简单的“蛙氏试验”反省，行将小儿屈膝屈髋，并向外睁开髋枢纽关头，假如睁开顺遂为失常，不然就需要进一步反省。别的还可观察孩子的臀纹及股纹是否对称，假如不对称可到病院由骨科大夫进一步反省。在给小儿把屎尿时留意一下，孩子的髋枢纽关头处有无弹响或非常运动，若有就要</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">到医院骨科做正规治疗</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">这样</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">就可以做到早诊断早医治。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">髋枢纽关头脱位的医治越早越好，</span>2个月之内的婴儿医治最简单并且后果好，可完整规复失常。3个月至1岁之内的小儿经由过程整复及牢固也可达到抱负的后果。1－3岁的小儿因脱位光阴长，小儿髋关节脱位四周软组织有分歧水平的挛缩，是以在复位以前要经由过程牵引，然后再复位也能获得比拟抱负的后果。3岁以上至8岁的小儿，他们脱位的</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">时间</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">更长，软组织挛缩得加倍重大，并且髋臼发育也差，伎俩复位极其艰苦，是以大多数都需要做手术，经由过程手术来小儿髋关节复位。</span>8岁以上的小儿，医治起来就比拟艰苦，并且后果也会更差一些。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">您的孩子刚一岁，放松</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">去治疗</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，应当不会</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">导致</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">孩子</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">一生</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">残疾，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">希望</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">您尽快带孩子到病院</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">尽快接受治疗。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">祝您早日康复！</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p><br/></p>","barId":"1195","topicTypeId":"2","topicThemeId":"1029","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1873,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1516100927727,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1516100927727,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"db869ccaaef711e7a3d800163e04584d","isDel":0,"createAt":1507776522121,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"海绵宝宝","password":"hgs1990623110","level":0,"nickName":"张宝宝","realName":null,"signName":"找良医网","head":null,"phone":null,"mobile":null,"wechat":null,"qq":null,"email":"573253266@qq.com","address":null,"identityType":5,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":2,"provinceId":"110000","cityId":"110114","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"11181","isDel":0,"createAt":1516096046312,"createBy":"db869ccaaef711e7a3d800163e04584d","createName":"海绵宝宝","updateAt":1516099428743,"updateBy":"db869ccaaef711e7a3d800163e04584d","updateName":"海绵宝宝","userId":"db869ccaaef711e7a3d800163e04584d","title":"看专家分析小儿先天性髋关节脱位有哪些症状","content":"<p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><br/></p><p style=\"margin-right: 0px; margin-left: 0px; text-indent: 32px; text-align: center; line-height: 200%;\"><img src=\"http://01luntan.com/ly_img/uimgs/1516096671539.jpg\" title=\"看专家分析小儿先天性髋关节脱位有哪些症状\" alt=\"看专家分析小儿先天性髋关节脱位有哪些症状\" width=\"600\" height=\"372\"/></p><p style=\"margin-right: 0px; margin-left: 0px; text-indent: 32px; line-height: 200%;\"><br/></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\"></span></span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">小儿先天性髋关节脱位在本质上是髋枢纽关头发育过程当中一大类疾病的总称，在分歧年龄段有分歧的表示。在新生儿中表示为髋枢纽关头不稳定，股骨头可产生部门外移</span>(半脱位)或全体外移(脱位)等，那么找良网专家来为大家解说</span><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">小儿先天性髋关节脱位有哪些症状？</span></strong></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">小儿先天性髋关节脱位有哪些症状</span></strong></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">新生儿和婴儿症状：</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">(1)枢纽关头运动障碍：患肢常呈屈曲状，运动较健侧差，蹬踩力量位于另一侧。髋枢纽关头外展受限。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">(2)患肢短缩：患侧股骨头向后上方脱位，罕见相应的下肢短缩。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">(3)皮纹及会阴部的变更：臀部及大腿内侧皮肤皱褶不对称，患侧皮纹较健侧深陷，数目增加。女婴大阴唇不对称，会阴部加宽。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">2.幼儿期症状：</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">(1)跛行步态：跛行常是小儿就医时家长的唯一主诉。一侧脱位时表示为跛行;两侧脱位时则表示为“鸭步”，患儿臀部显著后突，腰前凸增大。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">(2)患肢短缩畸形：除短缩外，同时有内收畸形。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">此病为新生儿期的罕见畸形疾病，做好</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">早期发现</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，诊断，实时处置，大多可获得优越疗效。假如在孩子走路后才发明此病，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">那么就要及时送去医院</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">。而且只管即便防止术后并发症的产生，一样平常情况下，只需发明实时，治愈是不太艰苦的。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><br/></p>","barId":"1195","topicTypeId":"2","topicThemeId":"1029","readLevel":1,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1456,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1516096046319,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1516096046319,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"db869ccaaef711e7a3d800163e04584d","isDel":0,"createAt":1507776522121,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"海绵宝宝","password":"hgs1990623110","level":0,"nickName":"张宝宝","realName":null,"signName":"找良医网","head":null,"phone":null,"mobile":null,"wechat":null,"qq":null,"email":"573253266@qq.com","address":null,"identityType":5,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":2,"provinceId":"110000","cityId":"110114","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"2853","isDel":0,"createAt":1488881946608,"createBy":"9238d37e020b11e7a61c00163e04584d","createName":"良医资讯","updateAt":0,"updateBy":null,"updateName":null,"userId":"9238d37e020b11e7a61c00163e04584d","title":"小儿先天性髋关节脱位","content":"<p style=\"margin-right: 0px; margin-left: 0px; text-indent: 37px; text-align: center;\"><span style=\";font-family:宋体;font-size:19px\"><span style=\"font-family:宋体\"><img src=\"http://01luntan.com/ly_img/uimgs/1488882824681.png\" title=\"1488882824681.png\" alt=\"01.png\"/></span></span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\"><span style=\"font-family:宋体\">有许多理论阐述先天性髋关节脱位的病因，如机械因素、内分泌诱导的关节松弛、原发性髋臼发育不良和遗传因素等。臀位产时有异常屈髋的机械应力，可导致股骨头后脱位。韧带松弛曾被认为是重要发病因素，妊娠后期母亲雌激素分泌增多会使骨盆松弛，有利于分娩，也使子宫内胎儿韧带产生相应松弛，在新生儿期较易发生股骨头脱位。但很难以单一的因素来解释本病的原因，一般认为遗传和原发性胚质缺陷对发病可能起重要作用。胎儿的髋关节开始是间质性软骨形成的裂隙，先呈深凹圆形，然后逐渐变浅，呈半圆形。出生时，髂骨、坐骨及耻骨仅部分融合，髋臼窝极浅，所以分娩时胎儿髋关节有很大的活动幅度，以使胎儿容易通过产道。因此，胎儿在出生前后这段时间内，最容易发生髋关节脱位。若胎儿下肢置于伸直内收位，则股骨头不易置于髋臼的深处，极易脱位。</span></span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\"><span style=\"font-family:宋体\">临床表现</span></span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\">1.新生儿和婴儿期的表现</span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\"><span style=\"font-family:宋体\">（</span>1）关节活动障碍患肢常呈屈曲状，活动较健侧差，蹬踩力量位于另一侧。髋关节外展受限。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\"><span style=\"font-family:宋体\">（</span>2）患肢短缩患侧股骨头向后上方脱位，常见相应的下肢短缩。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\"><span style=\"font-family:宋体\">（</span>3）皮纹及会阴部的变化臀部及大腿内侧皮肤皱褶不对称，患侧皮纹较健侧深陷，数目增加。女婴大阴唇不对称，会阴部加宽。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\">2.幼儿期的表现</span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\"><span style=\"font-family:宋体\">（</span>1）跛行步态跛行常是小儿就诊时家长的惟一主诉。一侧脱位时表现为跛行；双侧脱位时则表现为“鸭步”，患儿臀部明显后突，腰前凸增大。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\"><span style=\"font-family:宋体\">（</span>2）患肢短缩畸形除短缩外，同时有内收畸形。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\">3.分类</span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\"><span style=\"font-family:宋体\">（</span>1）根据股骨头与髋臼的关系分类一般可将其分为以下3种类型。①先天性发育不良股骨头仅略向外移，Shenton线基本正常，但CE角可减小，髋臼变浅，Dunn称此为先天性髋关节脱位Ⅰ级。②先天性半脱位股骨头向外上方移位，但仍与髋臼的外侧部分形成关节，Shenton线不连续，CE角小于20°，髋臼变浅，属Dunn分类Ⅱ级。③先天性完全脱位股骨头完全在真性髋臼以外，与髂骨的外侧面形成关节，逐渐形成假髋臼，原关节囊则嵌夹于股骨头与髂骨之间，属Dunn分类Ⅲ级。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\"><span style=\"font-family:宋体\">（</span>2）根据脱位的程度分类分为以下4度：①Ⅰ度脱位股骨头骺核位于Y线以下、髋臼外上缘垂线之外。②Ⅱ度脱位股骨头骺核位于Y线与Y线的臼上缘平行线之间。③Ⅲ度脱位股骨头骺核位于臼上缘平行线高度。④Ⅳ度脱位股骨头骺核位于臼上缘平行线以上，并有假臼形成。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\"><span style=\"font-family:宋体\">检查</span></span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\">1.Ortolani试验和Barlow试验</span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\"><span style=\"font-family:宋体\">适用于自出生至</span>3个月之间的先天性髋关节脱位，Ortolani的方法是将患儿两膝和两髋屈至90°，检查者将拇指放在患儿大腿内侧，示指、中指则放在大转子处，将大腿逐渐外展、外旋。如有脱位，可感到股骨头嵌于髋臼缘而产生轻微的外展阻力。然后，以示指、中指往上抬起大转子，拇指可感到股骨头滑入髋臼内时的弹动，即为Ortolani试验阳性。Barlow试验与Ortolani试验操作相反，检查者使患儿大腿被动内收、内旋，并将拇指向外上方推压股骨大转子，可再次感到一次弹动。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\">2.Allis征（Galezzi征）</span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\"><span style=\"font-family:宋体\">使新生儿平卧，屈膝</span>85°～90°，两腿并拢，双足跟对齐，如有本病，可见两膝高低不等。这是患侧股骨上移所致。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\">3.套叠试验</span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\"><span style=\"font-family:宋体\">使患儿平卧，患侧髋膝关节各屈曲</span>90°，检查者一手握住其股骨远端和膝关节，另一手压住其腹股沟，在提推患肢膝部时，如感到大转子随之上下活动，则为套叠试验阳性。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\">4.髋膝屈曲外展试验</span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\"><span style=\"font-family:宋体\">使受检婴儿平卧，髋膝关节屈曲，检查者双手握住其膝部，拇指在膝部内侧，其余的四指在膝部外侧，正常的婴儿一般可外展</span>80°左右，若仅外展50°～60°，则为阳性，只能外展40°～50°为强阳性。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\">5.Nelaton线</span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\"><span style=\"font-family:宋体\">髂前上棘与坐骨结节连线正常时通过大转子顶点，称为</span>Nelaton线，髋关节脱位时大转子在此线之上。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\">6.Trendelenburg试验</span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\"><span style=\"font-family:宋体\">嘱小儿单腿站立，另一腿尽量屈髋、屈膝，使足离地。正常站立时对侧骨盆上升；髋关节脱位后，股骨头不能托住髋臼，臀中肌无力，使对侧骨盆下降，从背后观察尤为清楚，称为</span>Trendelenburg试验阳性，是髋关节不稳定的体征。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\"><span style=\"font-family:宋体\">诊断</span></span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\"><span style=\"font-family:宋体\">依据病史、临床表现、体征、</span>X线片检查及测量，即可成立诊断。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\"><span style=\"font-family:宋体\">治疗</span></span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\"><span style=\"font-family:宋体\">本病的治疗原则是尽早诊断，及时治疗。出生后一旦确立先天性髋关节脱位的诊断，应立即开始治疗，可望获得一个功能接近正常的髋关节。治疗开始时的年龄越大，效果越差。</span></span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\">1.保守治疗</span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\"><span style=\"font-family:宋体\">保守疗法的理论基础是</span>Harris定律，即头臼同心是髋关节发育的基本条件。为了实现复位后髋关节的稳定必须具备以下条件：①选择一个维持髋关节稳定的姿势，传统的蛙式位是最理想的姿势，但不利于股骨头的血液供应。②根据患者的不同年龄选择支具、夹板或石膏固定，要求稳定、舒适、方便、便于尿便管理，最好能使髋关节保持适当活动。③选择髋关节发育的最适宜的年龄，年龄越小越好，一般以3岁以下为宜。④头臼比例应相称，如比例失调，则不能维持髋关节的稳定，甚至治疗失败。⑤复位维持一定的时间，使关节囊回缩至接近正常，去掉固定后可不再脱位。通常需3～6个月的时间，患者年龄越小，固定时间相应越短。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\">2.手术治疗</span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\"><span style=\"font-family:宋体\">（</span>1）Salter骨盆截骨术Salter手术除了使股骨头复位之外，主要是使异常的髋臼方向变为正常的生理方向，相对增加了髋臼深度，使股骨头与髋臼达到同心。年龄在1～6岁的髋关节脱位者，包括手法复位失败者可采用此术。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\"><span style=\"font-family:宋体\">（</span>2）Pemberton髋臼成形术是通过髋臼上缘上1～1.5cm平行髋臼顶斜坡进行截骨，将髋臼端撬起向下，改变髋臼顶的倾斜度，使髋臼充分包容股骨头，使髋臼达到正常形态。年龄超过7岁，或6岁以下髋臼指数超过46°者可选用本术式。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:37px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph\"><span style=\";font-family:宋体;font-size:19px\"><span 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