摘要
目的 :探讨不同原因所致股骨头缺血坏死在发病年龄、进展速度及预后方面的差异。方法 :参考ARCO分期和Steinberg定量概念对股骨头受累程度进行定量分析。结果 :62例 92个关节 ,其中创伤性头坏死 1 8例 1 8个关节 ,轻 ,中和重度受累依次为 8个 (44% )、1 0个 (56 % )、0个 ;激素性头坏死 1 8例 32个关节 ,依次为 1 2个 (38% )、1 0个 (31 % )、1 0个 (31 % ) ;酒精性头坏死 1 6例 2 7个关节 ,依次为 9个 (33 % )、1 8个(67% )、0个 ;其它原因头坏死 1 0例 1 5个关节 ,依次为 8个 (53 5 % )、7个 (43 6 % ) ,0个。平均年龄分别为 57 7、49 6、41 4和 49 9岁。平均病程分别为 51、31 6、2 2 6和 43个月。结论 :酒精性股骨头缺血坏死发病年龄轻 ,进展快 ,但股骨头受累不及激素性头坏死重 ,而创伤性头坏死年龄大 ,进展慢。
Objective:To inquire into the differences of ischemia necrosis of the femoral head resulting from varying accounts in onset age,proceeding speed and prognosis.Methods:Quantitative analysis of the degrees involved of the femoral head was made by consulting ARCO stage and Steinberg Quantitative concept.Results:There were 92 bone joints in 62 patients in this group.Eight teen joints of 18 cases were trauma-induced avascular necrosis of the femoral head,and 8(44%),10 (56%) and 0(0%) joints were in light,medium and serious degree ′ order.Thirty-two joints of 18 cases were hormone-induced avascular necrosis of the femoral head,and 12(38%),10(31%) and 10(31%) joints were in light,medium and serious degree′ order.Twenty-seven joints of 16 cases were alcohol-induced avascular necrosis of the femoral head,and 9(33%),18(67%) and 0(0%) joints were in light,medium and serious degree′ order.Other reasons were 15 joints of 10 cases,and 8(53 3%),7(43 6%) and 0(0%) were in light,medium and serious degree′ order.The mean age of each group was 57 7,49 6,41 4 and 49 9 years respectively.The course of disease was 51,31 6,26 and 43 months respectively.Conclusions:The femoral head of the patients suffering from alcohol-induced avascular,whose age is young and developing is fast,is not serious as that of the patients suffering from hormone-induced avascular necrosis of the femoral head.As to the patients suffering from trauma-induced avascular necrosis of the femoral head,its age is old,its developing is slow.
出处
《中国冶金工业医学杂志》
2000年第4期201-202,共2页
Chinese Medical Journal of Metallurgical industry
