CAJ | 학술논문

目的：分析、总结髋关节一过性骨质疏松症（ transient osteoporosis of the hip ，TOH）的临床特点、影像学特点、诊断及鉴别诊断要点。以提高临床医师对TOH的认识和诊治水平。方法回顾性分析我院骨科2012年5月至2014年3月诊治的3例TOH患者的临床资料，包括临床表现、髋部影像学检查、实验室检查、病理学检查等资料，并进行分析、总结。结果 TOH临床特点为主要表现为患髋关节周围疼痛及因疼痛引起的跛行步态，负重时疼痛加重，关节内收、外展及旋转活动轻度受限，MRI及X光片检查提示异常，3例患者均经MRI检查，1例病理学检查确诊为TOH。结论熟练掌握TOH的临床特点、影像学特征、诊断及鉴别诊断要点，有助于TOH的早期诊断，可明显减少其误诊、误治率。
목적：분석、총결관관절일과성골질소송증（ transient osteoporosis of the hip ，TOH）적림상특점、영상학특점、진단급감별진단요점。이제고림상의사대TOH적인식화진치수평。방법회고성분석아원골과2012년5월지2014년3월진치적3례TOH환자적림상자료，포괄림상표현、관부영상학검사、실험실검사、병이학검사등자료，병진행분석、총결。결과 TOH림상특점위주요표현위환관관절주위동통급인동통인기적파행보태，부중시동통가중，관절내수、외전급선전활동경도수한，MRI급X광편검사제시이상，3례환자균경MRI검사，1례병이학검사학진위TOH。결론숙련장악TOH적림상특점、영상학특정、진단급감별진단요점，유조우TOH적조기진단，가명현감소기오진、오치솔。
Objective To study and to summarize the clinical feature, imaging feature, key points for diagnosis and differential diagnosis of transient osteoporosis of the hip ( TOH) so as to improve the understanding, diagnosis, and treatment of TOH. Methods Clinical data of 3 patients with TOH in the Department of Orthopedics in our hospital from May 2012 to March 2014 were studied retrospectively, including clinical manifestation, hip image, laboratory test and pathological examination.Results Clinical features of TOH were hip joint pain and coxarthropathy due to the pain.The pain was increased after loading.The activity of the hip joint was limited.MR imaging and X-ray indicated abnormal image.All patients were diagnosed as TOH by MRI, and 1 case was by pathological examination.Conclusion Mastering the clinical feature, imaging feature, and key points for diagnosis and differential diagnosis of TOH may facilitate early diagnosis of TOH and reduce misdiagnosis and mistreatment significantly.