| 摘要: |
| 成人髋臼发育不良早期因症状不典型而诊断困难，当出现临床症状时，一般合并髋关节半脱位或脱位，晚期会继发髋关节骨性关节炎，导致患者最终只能置换人工关节。成人髋臼发育不良原因可能与遗传、软骨发育障碍有关。虽然影像学测量方法及治疗方案较多，但因早期症状不明显，易出现漏诊，治疗决策根据疾病的进展程度制定：早期及中期患者可通过减少负重止痛及截骨术增加髋臼包容性；晚期患者并发严重的髋关节骨性关节炎、脱位，为了提高生活质量，改善关节功能，人工关节置换技术是最有效也是终极治疗方案。 |
| 关键词: 成人髋臼发育不良 测量方法 截骨术 关节置换 |
| DOI：10.11724/jdmu.2016.01.23 |
| 分类号:R681.6 |
| 基金项目: |
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| Current diagnosis and management of acetabular dysplasia |
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ZHAO Sheng-jun1,2, ZHAO Li3, HAN Yong-tai2
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1.Second Department of Orthopedics, the Central Hospital of Chengde, Chengde 067000, China;2.Department of Orthopedics, the Third Hospital of Hebei Medical University, Shijiazhuang 050051, China;3.Department of Ultrasound, Affiliated Hospital of Chengde Medical College, Chengde 067000, China
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| Abstract: |
| Due to atypical symptoms, early diagnosis of acetabular dysplasia is difficult and easily missed. Clinical symptoms, when happen, generally are combined with subluxation or dislocation, and eventually secondary osteoarthritis. The only choice of treatment is total hip replacement. Acetabular hypoplasia may be associated with genetic and developmental disorders of cartilage. Although multiple imaging measurement methods and treatment options exist, early diagnosis may be missed due to unobvious symptoms at early stage. Treatment decisions are made according to the disease progression. Early and mid-term patients are treated by reducing weight and osteotomy to increase the acetabulum tolerance and relieve pain. In the late-term patients complicated with severe hip osteoarthritis or dislocation, in order to improve the quality of life and joint function, total hip replacement is the most effective and ultimate treatment plan. |
| Key words: acetabular hypoplasia measurement osteotomy total hip replacement |
