A. Arslan, Bahadır Balkanli
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摘要

目的:探讨Graf法IIa型患者臀中、小肌厚度与正常人是否存在差异。方法:选取2021年1月至2021年3月期间在我院行发育性髋关节发育不良超声扫描的200例1-3月龄婴儿为研究对象。由同一放射科医生在三辐软骨水平用9-12 MHz线阵探头在标准冠状面进行评估。测量臀大中肌和臀小肌厚度。-结果:男女比例为0.9。平均年龄43.9±13.7 d。ⅰ型Graf 159例(79.5%)(A组),ⅱ型Graf 41例(20.5%)(B组),两组人口统计学和临床特征相似(p>0.05)。Graf I型和IIa型新生儿臀中、臀小肌的平均长度相似(p=0.975和p=0.069)。男性和女性新生儿臀小肌的平均长度有显著差异(p=0.001)。女性新生儿的肌肉长度比男性新生儿短(3.4±0.5 mm比3.6±0.5 mm)。-结论:由于成熟髋与未成熟髋的臀肌厚度无差异;臀肌长度不是髋关节超声扫描的诊断标志。
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Gluteus Medius ve Minimus Kas Kalınlığının Üç Aya Kadar Gelişimsel Kalça Displazisi Üzerine Etkisi
-Purpose: To investigate whether there is a difference in the gluteus medius and minimus muscle thicknesses between the cases with Graf method type IIa and normal subjects. -Methods: A total of 200 cases, 1-3 months old infants, who applied to our hospital for developmental hip dysplasia ultrasound scanning between January 2021 and March 2021 were included in our study. The cases were evaluated with a standard coronal plane with a 9-12 MHz linear array probe according to the Graf method at the level of the triradiate cartilage by the same radiologist. The largest gluteus medius and minimus muscle thickness were measured. -Results: The female to male ratio was 0.9. and the mean age was 43.9 ± 13.7 days. The present study had 159 (79.5%) Graf type I (Group A) and 41 newborns (20.5%) with Graf type IIa (Group B). Demographic and clinical characteristics were similar in both groups (p>0.05). The mean lengths of the gluteus medius and minimus muscles were similar in newborns with Graf type I and IIa (p=0.975 and p=0.069, respectively). A significant difference was found in the mean length of the gluteus minimus muscle between male and female newborns (p=0.001). The muscle length was statistically shorter in the female newborns than the male newborns (3.4 ± 0.5 mm vs. 3.6 ± 0.5 mm). -Conclusion: Since there was no difference in gluteal muscle thickness between mature and immature hips; Gluteal muscle lengths are not a diagnostic landmark in the hip ultrasound scan.
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