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相關文獻
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頁籤選單縮合
題 名 | Conditions before Collapse of the Contralateral Hip in Osteonecrosis of the Femoral Head=對側尚未塌陷髖關節在股骨頭缺血性壞死的臨床追蹤 |
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作 者 | 李炫昇; 張毓翰; 趙恩塏; 施俊雄; | 書刊名 | 長庚醫學 |
卷 期 | 25:4 2002.04[民91.04] |
頁 次 | 頁228-237 |
分類號 | 416.61 |
關鍵詞 | 股骨頭; 髖關節置換; 骨頭缺血性壞死; Femoral head; Hip replacement; Osteonecrosis; |
語 文 | 英文(English) |
中文摘要 | 背景: 股骨頭缺血性壞死經常發生在年輕的病人,而且其疾病的進展也相當的迅速。文獻報告指出股骨頭缺血性壞死的病患,使用人工關節置換治療後,其長期的效果相較於因為其他原因接受人工關節置換的病患差得許多。因此,如此保留病患自己的股骨頭而不用人工關節置換是骨科醫師所面臨的重要挑戰,然而對於是否需要早期手術治療以避免股骨頭進行性的崩塌這個問題,必須要能夠更清楚的瞭解股骨頭缺血性壞死的疾病發展情形。這篇文章是用回溯研究的方式探討股骨頭缺血性壞死影響到雙側髖關節的病患,其疾病的進度速度、疾病的最終結果、並且希望找出與疾病發展相關的危險因子。 方法: 從1993年到1997年,總共有275位病人因為股骨頭缺血性壞死接受人工髖關節置換,其中有215位病人在求診時或在追蹤過程中發現另一側股骨頭也有壞死的現象。在這群病人之中,有100個股關節於開始接受治療時尚未塌陷,因此登錄於此回溯研究。 結果: 這100例股關節之中有78%在隨後的兩年之內其股骨頭發生塌陷,從而造成進行性的關節病雙。我們同時發現在年紀輕輕(>50)、有較高的活動力或從事粗重工作、或是血中之三酸甘油脂值較高的病人,其股骨頭發生塌陷的機會比對照的病人高出許多。 結論: 我們因此認為,對於屬於高危險群的病患,我們應該更積極利用各種手術方治療股骨頭缺血性壞死,同時對於這類的病患可能也應該建議減輕工作負擔與注意血脂肪的控制。 |
英文摘要 | Background: Osteonecrosis of the femoral head is a disease which may cause rapid femoral head collapse in relatively young patients. ?Clinical results of prosthesis replacement in osteonecrosis patients are generally poorer than in age-matched patients with other diagnoses. The ultimate goal in treating these patients is therefore to preserve not replace the involved femoral head. The purposes of this study were to analyze outcomes by examining osteonecrotic hips before collapse and to justify the role of early surgical intervention for osteonecrosis of the femoral head. Methods: Between 1993 and 1997, there were 275 consecutive patients with osteonecrosis of the femoral head who received joint replacement on 1 side. Among these patients, 100 contralateral hips with evidence of osteonecrosis in the stage before collapse were included in this study. Demographic information, laboratory data, and radiographs were reviewed and ccompared between patients whose collapse time was less than 1 year, between 1 and 2 years, and more than 2 years, and those who had no collapse at the latest follow-up. Results: At the final follow-up, the overall collapse rate was 78%, and the collapse time was generally within 2 years. Patients with younger age (less than 50 years old), highter activity levels and higher serum triglyceride levels were at higher risk of rapid collapse. Conclusion: In conclusion, wer found that the disease progression rate is high in patients who have bilateral femoral head involvement. Early surgical intervention to preserve the femoral head should be adopted to prevent early femoral head collapse in these patients. In addition, risk factors such as high activity levels and abnormal lipid metabolism should also possibly be addressed in the therapeutic modality. |
本系統中英文摘要資訊取自各篇刊載內容。