【摘要】 目的　对比观察改良Salter手术及改良贝氏石膏与经典Salter手术及贝氏石膏治疗先天性髋关节脱位的疗效。方法　 89例、112髋、1.5～ 7.0岁的先天性髋关节脱位患儿分为 2组 :①改良Salter手术组 ,42例、5 1髋 ,取骨部位在距髂前上棘后 4cm处 ;截骨方法是从前向后以骨刀截断 ,仅保留坐骨大切迹的少许皮质 ;双层髂骨植骨 ;术后用改良贝氏石膏固定 ,不固定髋关节。②经典Salter手术组 ,47例、61髋 ,完全按Salter手术及贝氏石膏进行治疗。结果　随访时间 1～ 11年 ,平均 7年。按先天性髋关节脱位疗效评定标准 ,改良组髋的优良率为 94.1% ,经典组为 77.0 %。两组比较 ,差异有显著性 (P <0 .0 5 )。结论　改良Salter手术和改良贝氏石膏治疗先天性髋关节脱位明显优于经典Salter手术和贝氏石膏更多还原

【Abstract】 Objective To compare the effects of modified Salter osteotomy and Batchelor plaster with that of the classical Salter procedure on the treatment of CDH. Methods 112 hips in 89 pediatric patients aged between 1.5 and 7 years with congenital hip dislocation were divided into two groups: ① The modified group included 42 cases(51 hips) and the osteotomy site for bone graft was devised to be located over the iliac crest 4cm away from the spina iliac anterior superior, the modified method conserved only part of the cortex of incisura ischiadica major with a chisel anter-oposteriorly. The double layer of illiac bone graft was inserted to the osteotomic site and the modified Batchelor plaster was used postoperatively with the hips fixed. ② The classical group of 47 cases (61 hips) was treated completely with the classical Salter osteotomy and Batchelor plaster. Results All patients were followed up for 1 to 11 years (average 7 years). According to Ji Shi-jun’s criterion of the treatment of CDH, the good outcome rate of the modified group was 94.1%, while that of the classical group was only 77%. The two groups were compared with a chi-square test, P<0.05. Conclusion The modified Salter osteotomy and Bathchelor plaster are more advantageous than the classical method in the treatment of CDH.更多还原