髋发育不良数字声波技术的早期筛查价值.PDFVIP

34 2002 2 23 1　Chin J Pediatr Surg, February 2002, Vol.23, No.1 ·· 黄晓琳　邝适存　郑振耀 　　【】　　, , 。　、 , 90 (CF) (D), 16 1～60 , 。 　 160 ～315 Hz , :CF0.94;6 CF0.8。 :D 2 dB;, (P0.001)。, 2 dB , 100%。　 , 。 【】　, ;; Early screening of developmental dyspl asia of hip by acousti cal techni que 　HUAN GX iaolin, K UAN G Shichun, ZHEN G Zhenyao.Dep artment of Rehabilitation Medicine, ongj i Hosp ital, he ongji Medi- cal University, Wuhan, 430030, China 【Abstract】　Objective 　To search for non-invasive acoustical techni ue reflecting the dynamic re- sponse of the observed structure for early screening of developmental dysplasia of the hip (DDH)in neonates.Methods 　The special testing instruments included an excitation system, a transduction system and the data ac uisition and analysis system with a program of dual channel digital filter for measuring the power of acoustic signals.The baseline for 90 normal neonates has been established.Sixteen cases of unilat- eral DDH were examined by the acoustical techni ue.Results　The most optimal and effective testing fre- uencies were found in the range of 200 ～315 Hz, in w hich there was a high coherence (CF0.94)and a small discrepancy (D2 dB)in normal group.The results suggested that the coherence of the signals in 6 cases were below 0.8 in at least one of these three fre uency bands.The discrepancy estimated for the pa- tientsw ere found to be clearly different from the normal figures (P0.001).By setting the cut-off discrep- ancy at 2.0 dB, the best sensitivity of 100%w ould be achieved.Conclusion 　This study show s that the de- velopment of the acoustical techni ue providing a practical method with objective measure of sound signals across hip joints for early screening of DDH in neonates. 【Key words】　Hip dysplasia, congenital;Neonatal screening;Hip joint 　　(developmental dysplasia of the hip, ,