摘要
作者收集了从１９８０～１９９１年经外科手术的７２例无菌性小儿股骨头坏死。发病年龄３～１６岁，平均８，８岁。男５４例，女１８例。双侧发病４例。按不同的发病类型，本组采用了４种手术方式：（１）患髋滑膜切除加骺板上开窗减压，病灶清除植骨术；（２）大转子劈裂外移后植骨术；（３）转子下或转子间截骨术；（４）骨盆与转子下或转子间截骨术。根据作者的临床与Ｘ线的综合评分标准，在２年以上随访的６５例中优者１４例，占２１．５％，良为４６例，占７０．８％，可５例，占７．７％。作者认为该病具有患侧股骨头血循环障碍，内压增高及髓关节包容不正畸形的特点。因此，应根据不同的病情和类型采用不同的治疗方法才能提高疗效。
AbstractSevent y-two cases of Legg-Pert hes disease treatedsurgically from l980 to l991, were reviewed. Onset ofthe disease occurred between 3～16 years of age with anaverage of 8. 8 years.54 cases were male and l8 werefemale. 4 cases had bilateral involvement. Four kinds ofsurgical procedures were undertaken according to the dif-ferent sypes of the disease,They consisted of synovecto- my of the hip joint in addition to decompression above the plate of the femoral head following bone graft, dis-placement of the greater trochanter after bone graft,in-tertrochanteric or sultrochanreric osteotomy and double osteotomies of inter-or aubtrochanteric and innominate osteotomies. Of the 72 cases, 65 were followed up for more than 2 years,A comprehensive criteria of evalua-tion revealed that 14 cases( 21,5%)had excellent re- sultw, 46(70.8%)had good results and5(7. 7%)hadfair results, As the disease process is characterized by oisturbance of drainage retum and elevation of in -traosseous pressure of the femoral head and neck in addi-tion to ill containment of the femoral head within the ac-etabulum , the authors believe that a single surgical pro-cedure is unble to solve all the problems of the conditionand that the patients should be dealed with individually.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1995年第11期772-774,共3页
Chinese Journal of Orthopaedics
基金
卫生部基金
