中国医刊
中國醫刊
중국의간
Chinese Journal of Medicine
2015年
11期
48-50
,共3页
谢斌%张小磊%王荣田%何海军%刘道兵%周宇%王均玉%陈卫衡
謝斌%張小磊%王榮田%何海軍%劉道兵%週宇%王均玉%陳衛衡
사빈%장소뢰%왕영전%하해군%류도병%주우%왕균옥%진위형
酒精%股骨头坏死%流行病学
酒精%股骨頭壞死%流行病學
주정%고골두배사%류행병학
Alcoholism%Osteonecrosis of the femoral head%Epidemiology
目的 探讨和分析酒精性股骨头坏死的发病特点,为股骨头坏死的防治提供理论依据.方法 收集于2012年1月至2014年3月在本院就诊的非创伤性股骨头坏死患者的临床资料,按病因分为酒精性和激素性,以酒精性为试验组,以激素性为对照组,制成相应量表,并采用双录入的方法,录入电脑,对性别、年龄、股骨头坏死的侧别、分期等结果进行统计、分析和总结. 结果 共收集112例,290髋,其中试验组82例(41. 61℅),134髋(46. 21℅),与对照组的90例(52. 33℅),156髋(53. 19℅)例数接近. 试验组青年25例(30. 5℅),中年48例(58. 5℅),老年9例(11℅),平均年龄(45. 44±11. 19)岁;对照组青年54例(60℅),中年24 例(26. 1℅),老年 12 例(13. 3℅),平均年龄(40. 68 ± 14. 86)岁. 试验组中男 82 例(100℅),女0例(0℅);对照组中男48例(53. 3℅),女42例(46. 1℅). 试验组左髋发病14例(11. 01℅),右髋发病16例(19. 51℅),双髋发病52 例(63. 42℅);对照组左髋发病11 例(12. 22℅),右髋发病13 例(14. 44℅),双髋发病66例(63. 34℅). 试验组ARCO分期Ⅰ期0髋(0. 00℅),Ⅱ期50髋(31. 31℅),Ⅲ期60髋(44. 18℅),Ⅳ期24髋(11. 91℅);对照组ARCO分期Ⅰ期6髋(0. 04℅),Ⅱ期11髋(45. 51℅),Ⅲ期59髋(31. 82℅),Ⅳ期20髋(16. 63℅). 结论 酒精已成为非创伤性股骨头坏死的主要致病因素之一. 酒精性股骨头坏死在中年人群中发病率最高,同时具有以男性为主、双侧发病的特点.
目的 探討和分析酒精性股骨頭壞死的髮病特點,為股骨頭壞死的防治提供理論依據.方法 收集于2012年1月至2014年3月在本院就診的非創傷性股骨頭壞死患者的臨床資料,按病因分為酒精性和激素性,以酒精性為試驗組,以激素性為對照組,製成相應量錶,併採用雙錄入的方法,錄入電腦,對性彆、年齡、股骨頭壞死的側彆、分期等結果進行統計、分析和總結. 結果 共收集112例,290髖,其中試驗組82例(41. 61℅),134髖(46. 21℅),與對照組的90例(52. 33℅),156髖(53. 19℅)例數接近. 試驗組青年25例(30. 5℅),中年48例(58. 5℅),老年9例(11℅),平均年齡(45. 44±11. 19)歲;對照組青年54例(60℅),中年24 例(26. 1℅),老年 12 例(13. 3℅),平均年齡(40. 68 ± 14. 86)歲. 試驗組中男 82 例(100℅),女0例(0℅);對照組中男48例(53. 3℅),女42例(46. 1℅). 試驗組左髖髮病14例(11. 01℅),右髖髮病16例(19. 51℅),雙髖髮病52 例(63. 42℅);對照組左髖髮病11 例(12. 22℅),右髖髮病13 例(14. 44℅),雙髖髮病66例(63. 34℅). 試驗組ARCO分期Ⅰ期0髖(0. 00℅),Ⅱ期50髖(31. 31℅),Ⅲ期60髖(44. 18℅),Ⅳ期24髖(11. 91℅);對照組ARCO分期Ⅰ期6髖(0. 04℅),Ⅱ期11髖(45. 51℅),Ⅲ期59髖(31. 82℅),Ⅳ期20髖(16. 63℅). 結論 酒精已成為非創傷性股骨頭壞死的主要緻病因素之一. 酒精性股骨頭壞死在中年人群中髮病率最高,同時具有以男性為主、雙側髮病的特點.
목적 탐토화분석주정성고골두배사적발병특점,위고골두배사적방치제공이론의거.방법 수집우2012년1월지2014년3월재본원취진적비창상성고골두배사환자적림상자료,안병인분위주정성화격소성,이주정성위시험조,이격소성위대조조,제성상응량표,병채용쌍록입적방법,록입전뇌,대성별、년령、고골두배사적측별、분기등결과진행통계、분석화총결. 결과 공수집112례,290관,기중시험조82례(41. 61℅),134관(46. 21℅),여대조조적90례(52. 33℅),156관(53. 19℅)례수접근. 시험조청년25례(30. 5℅),중년48례(58. 5℅),노년9례(11℅),평균년령(45. 44±11. 19)세;대조조청년54례(60℅),중년24 례(26. 1℅),노년 12 례(13. 3℅),평균년령(40. 68 ± 14. 86)세. 시험조중남 82 례(100℅),녀0례(0℅);대조조중남48례(53. 3℅),녀42례(46. 1℅). 시험조좌관발병14례(11. 01℅),우관발병16례(19. 51℅),쌍관발병52 례(63. 42℅);대조조좌관발병11 례(12. 22℅),우관발병13 례(14. 44℅),쌍관발병66례(63. 34℅). 시험조ARCO분기Ⅰ기0관(0. 00℅),Ⅱ기50관(31. 31℅),Ⅲ기60관(44. 18℅),Ⅳ기24관(11. 91℅);대조조ARCO분기Ⅰ기6관(0. 04℅),Ⅱ기11관(45. 51℅),Ⅲ기59관(31. 82℅),Ⅳ기20관(16. 63℅). 결론 주정이성위비창상성고골두배사적주요치병인소지일. 주정성고골두배사재중년인군중발병솔최고,동시구유이남성위주、쌍측발병적특점.
Objective This retrospective study aimed to investigate the clinical features of alcohol-induced osteone-crosis of the femoral head. Method From January 2012 to March 2014 , 112 cases of osteonecrosis of the femoral head were investigated retrospectively to analyze the age, gender, side and Association Research Circulation Osse-ous stage. Result Of 112 cases, 82 cases were alcohol-induced and 90 cases were steroid-induced. In the alcohol-induced group, there were 82 male (100℅) and 0 female (0℅) , with an average age of (45. 44±11. 19) years and a highest incidence in the middle-aged group(58. 5℅). Of the total of 134 hips in this group, 52 cases were bilateral(63. 42℅),while 14 cases were left lateral(11. 01℅) and 16 cases were right lateral(19. 51℅). 0 was at stage Ⅰ(0. 00℅), 50 were at stage Ⅱ(31. 31℅ ), 60 were at stage Ⅲ(44. 18℅) and 24 were at stage Ⅳ(11. 91℅) . In the steroid-induced group, there were 48 male (53. 3℅) and 42 female(46. 1℅) with an average age of (40. 68±14. 86) years and a highest incidence in the young-aged group(60℅). The total of 156 hips in this group, 66 cases were bilateral(63. 34℅),while 11 cases were left lateral(12. 22℅) and 13 cases were right lateral (14. 44℅). 6 were at stage Ⅰ(0. 04℅) ,11 were at stageⅡ(45. 51℅),59 were at stage Ⅲ(31. 82℅) and 20 were at stageⅣ(16. 63℅). Conclusion Alcoholism is one of the most common causes for non-traumatic osteonecro-sis of the femoral head in this study. Alcohol-induced osteonecrosis of the femoral head is a predominantly male, bilateral disease with the highest incidence in the middle-aged population .
