Graf 法联合 Harcke 法在发育性髋关节 发育不良儿童诊断中的应用价值

Application Value of Graf Method Combined with Harcke Method in the Diagnosis of Developmental Dysplasia of the Hip in Children

摘要:

〔摘 要〕 目的：探讨 Graf 法联合 Harcke 法在发育性髋关节发育不良（DDH）儿童诊断中的应用价值。 方法： 选取 2020 年 1 月至 2021 年 1 月商丘市第三人民医院收治的疑似 DDH 婴幼儿 150 例（198 髋）为研究对象，均接受 Graf 法和 Harcke 法检查。分析 Graf 法、Harcke 法单独及联合对 DDH 的诊断价值，并以临床诊断结果作为金标准， 采用 Kappa 检验分析 Graf 法、Harcke 法单独及联合诊断 DDH 的一致性。 结果：联合检查方法诊断 DDH 的灵敏度、 准确度、阴性预测值均明显高于 Graf 法、Harcke 法，差异具有统计学意义（P ＜ 0.05）；Graf 法诊断 DDH 的 κ 为 0.790， Harcke 法诊断 DDH 的 κ 为 0.781，联合检查方法诊断 DDH 的 κ 为 0.964，联合检查方法的一致性最高。 结论：Graf 法联合 Harcke 法能提高诊断 DDH 的灵敏度和准确度，且与临床诊断结果的一致性最高。

Abstract:

〔Abstract〕 Objective To explore the value of Graf method and Harcke method in the diagnosis of developmental dysplasia of the hip (DDH) in children. Methods A total of 150 infants (198 hips) with suspected DDH admitted to Shangqiu Third People's Hospital from January 2020 to January 2021 were selected as the research objects. All of them were examined by Graf and Harcke methods. The diagnostic value of Graf method and Harcke method alone and in combination for DDH was analyzed. The clinical diagnosis results were taken as the gold standard, and the consistency of Graf method and Harcke method alone and in combination for diagnosis of DDH was analyzed by Kappa method. Results The sensitivity, accuracy and negative predictive value of combined examination in the diagnosis of DDH were significantly higher than those of the Graf method and Harcke method, and the differences were statistically significant (P < 0.05). The Kappa value of Graf method in the diagnosis of DDH was 0.790, the Kappa value of Harcke method in the diagnosis of DDH was 0.781, and the Kappa value of combined examination method in the diagnosis of DDH was 0.964. The consistency of combined examination method was the best. Conclusion Graf method combined with Harcke method can improve the sensitivity and accuracy of diagnosis of DDH, and the consistency with clinical diagnosis results is the best.