中国骨与关节杂志
中國骨與關節雜誌
중국골여관절잡지
Chinese Journal of Bone and Joint
2014年
6期
424-428
,共5页
髋关节%关节成形术,置换,髋%骨关节炎%骨关节炎,髋%骨关节炎,分型
髖關節%關節成形術,置換,髖%骨關節炎%骨關節炎,髖%骨關節炎,分型
관관절%관절성형술,치환,관%골관절염%골관절염,관%골관절염,분형
Hip joint%Arthroplasty,replacement,hip%Osteoarthritis%Osteoarthritis,hip%Osteoarthritis,typing
目的：回顾5例(7髋)髋关节快速性破坏性骨关节病患者的临床转归过程，探讨Bekki-RDO分型的改进。分析患者实验室及辅助检查，发现患者病程发展特点，并对疾病的诊断、治疗进行初步探讨。方法2004至2012年，我院收治5例(7髋)髋关节快速破坏性骨关节病患者，回顾其临床表现及转归。结果5例(7髋)早期临床表现为定位不清的患肢疼痛功能障碍，后期疼痛定位于患肢腹股沟中段。实验室检查除碱性磷酸酶、血沉、转氨酶轻度升高，其余化验结果无特异性改变。影像学上患肢髋关节半年内呈现快速的进行性破坏表现，根据影像学改变特点，可归纳分型为：I 型：间隙缩窄型、II 型：骨组织萎缩型、III型：骨组织崩解碎裂型、IV型：骨组织吸收型。以上患者经手术治疗后，取得良好疗效。结论本组5例髋关节快速性破坏性骨关节病患者临床表现较为典型，改进的 RDO 分型能够为临床诊断与治疗提供有效的帮助。
目的：迴顧5例(7髖)髖關節快速性破壞性骨關節病患者的臨床轉歸過程，探討Bekki-RDO分型的改進。分析患者實驗室及輔助檢查，髮現患者病程髮展特點，併對疾病的診斷、治療進行初步探討。方法2004至2012年，我院收治5例(7髖)髖關節快速破壞性骨關節病患者，迴顧其臨床錶現及轉歸。結果5例(7髖)早期臨床錶現為定位不清的患肢疼痛功能障礙，後期疼痛定位于患肢腹股溝中段。實驗室檢查除堿性燐痠酶、血沉、轉氨酶輕度升高，其餘化驗結果無特異性改變。影像學上患肢髖關節半年內呈現快速的進行性破壞錶現，根據影像學改變特點，可歸納分型為：I 型：間隙縮窄型、II 型：骨組織萎縮型、III型：骨組織崩解碎裂型、IV型：骨組織吸收型。以上患者經手術治療後，取得良好療效。結論本組5例髖關節快速性破壞性骨關節病患者臨床錶現較為典型，改進的 RDO 分型能夠為臨床診斷與治療提供有效的幫助。
목적：회고5례(7관)관관절쾌속성파배성골관절병환자적림상전귀과정，탐토Bekki-RDO분형적개진。분석환자실험실급보조검사，발현환자병정발전특점，병대질병적진단、치료진행초보탐토。방법2004지2012년，아원수치5례(7관)관관절쾌속파배성골관절병환자，회고기림상표현급전귀。결과5례(7관)조기림상표현위정위불청적환지동통공능장애，후기동통정위우환지복고구중단。실험실검사제감성린산매、혈침、전안매경도승고，기여화험결과무특이성개변。영상학상환지관관절반년내정현쾌속적진행성파배표현，근거영상학개변특점，가귀납분형위：I 형：간극축착형、II 형：골조직위축형、III형：골조직붕해쇄렬형、IV형：골조직흡수형。이상환자경수술치료후，취득량호료효。결론본조5례관관절쾌속성파배성골관절병환자림상표현교위전형，개진적 RDO 분형능구위림상진단여치료제공유효적방조。
Objective To review the clinical outcome process of 5 patients ( 7 hips ) with rapidly destructive hip osteoarthritis, to investigate the improvement of Bekki-rapidly destructive osteoarthritis ( RDO ) typing, to analyze the laboratory tests and auxiliary examinations, to explore the course characteristics of the patients and to preliminarily discuss the diagnosis and treatment of this disease.Methods The clinical presentations and outcomes of 5 patients ( 7 hips ) with rapidly destructive hip osteoarthritis who were adopted from 2004 to 2012 were reviewed.Results The clinical manifestations of the 5 patients ( 7 hips ) included ill-positioned pain and dysfunction in the affected limbs in the early period, and later pain in the middle part of the groin was noticed. The laboratory tests revealed that the alkaline phosphatase, erythrocyte sedimentation rate, transaminase were mildly elevated, and no speciifc changes were found in the rest test results. Within half a year, the radiography showed fast and progressive destruction in the affected limbs and hips. According to the image changes, there were 4 types in all, including type I of narrowing the gap, type II of bone tissue atrophy, type III of bone tissue disintegration and fragmentation and type IV of bone tissue absorption. Good results were achieved in the patients when they underwent the surgery.Conclusions The clinical manifestations of the 5 patients with rapidly destructive hip osteoarthritis are representative, and the modified RDO typing could provide effective help for the clinical diagnosis and treatment.
