本文選題：非創(chuàng)傷性股骨頭壞死　切入點(diǎn)：關(guān)節(jié)積液　出處：《臨床骨科雜志》2017年02期

【摘要】：目的探討非創(chuàng)傷性股骨頭壞死(NONFH)患者髖關(guān)節(jié)積液與壞死分期、關(guān)節(jié)功能之間的相關(guān)性,了解股骨頭壞死對(duì)關(guān)節(jié)積液的影響。方法對(duì)46例NONFH患者74髖資料進(jìn)行回顧性分析。根據(jù)MRI影像將關(guān)節(jié)積液分為0~Ⅲ級(jí);依據(jù)ARCO分期將NONFH分為Ⅰ~Ⅳ期;髖關(guān)節(jié)功能按照Harris評(píng)分標(biāo)準(zhǔn)評(píng)分并分為4個(gè)等級(jí)。分析關(guān)節(jié)積液與壞死分期、Harris評(píng)分之間的相關(guān)性。結(jié)果 74髖中65髖發(fā)生關(guān)節(jié)積液。ARCO分期與關(guān)節(jié)積液分級(jí)相關(guān)(r=0.50,P0.001),不同ARCO分期的關(guān)節(jié)積液分級(jí)差異有統(tǒng)計(jì)學(xué)意義(χ2=24.81,P0.001),關(guān)節(jié)積液分級(jí)隨著壞死分期(Ⅰ~Ⅲ期)增加而增加,以Ⅲ期患者的關(guān)節(jié)積液最常見。Harris評(píng)分等級(jí)與關(guān)節(jié)積液分級(jí)有相關(guān)性(r=0.52,P0.001),不同功能評(píng)分等級(jí)的關(guān)節(jié)積液分級(jí)差異有統(tǒng)計(jì)學(xué)意義(χ2=21.97,P0.001),關(guān)節(jié)積液分級(jí)隨Harris評(píng)分等級(jí)降低而增加。結(jié)論 NONFH關(guān)節(jié)積液的發(fā)生情況與壞死分期及關(guān)節(jié)功能評(píng)分明顯相關(guān),關(guān)節(jié)積液在一定程度上可以作為預(yù)測(cè)疾病發(fā)生和進(jìn)展的輔助指標(biāo)。
[Abstract]:Objective to investigate the correlation between hip effusion and necrotic stage and joint function in patients with nontraumatic femoral head necrosis (NONFH), and to understand the effect of femoral head necrosis on joint effusion.Methods the data of 74 hips in 46 patients with NONFH were analyzed retrospectively.According to MRI images, joint effusion was divided into 0 ~ 鈪，

本文編號(hào)：1727707