小儿股骨头骨软骨炎分型  

Typing of childhood osteochondritis of femoral head

作　　者：王云钊[1] 宋新春[2] 肖正权 

机构地区：[1]北京积水潭医院,北京100035 [2]北京北亚医院,北京100102

出　　处：《中国中西医结合影像学杂志》2006年第6期404-406,共3页Chinese Imaging Journal of Integrated Traditional and Western Medicine

摘　　要：目的：小儿股骨头骨软骨炎骨骺变化迅速平片表现多样，如何从判断预后进行新的分型。材料和方法：2～13岁小儿60例，平均年龄8．26岁。其中2～5岁幼儿11例，6～13岁少儿49例。方法：是从股骨头骨软骨炎累及的不同范围进行分型。以简单明确、便于实用、符合发展、显示预后进行分型。结果：Ⅰ型（轻）单纯骨骺坏死，骨骺碎小裂隙扁平9例（15％）。Ⅱ型（中）骨骺干骺坏死，骨骺骨化不均，干骺端囊变硬化，股骨颈粗端39例（65％）。Ⅲ型（重）骨骺干骺坏死加股骨头外移12例（20％）。结论：Ⅰ型预后较好，髋臼发育不良者预后较坏。Objective： The epiphysis of femoral head in childhood osteochondritis changed rapidly, showing various manifestations on radiographs. It was necessary to design a new typing for predicting the prognosis. Methods： Sixty cases were studied. The age ranged from 2 to 13 years with an average of 8.26 years. Of them, 11 cases aged 245 years and 49 cases aged 6413 years. The typing here was according to the different extent of involvement of the disease and was simple, clear, easy to use, in keeping with development and helpful for predicting the prognosis. Results： Type Ⅰ（mild）, 9 cases （15%）. Only epiphyseal necrosis with small leakage and mild flatness; type Ⅱ（moderate）, 39 cases （65%）. Epiphyseal and metaphyseal necrosis showing uneven epiphyseal ossification with cystic degeneration and sclerosis; thickening and shortening of femoral neck. Type Ⅲ（severe）, 12 cases （20%）. Epiphyseal and metaphyseal necrosis and lateral displacement of femoral head. Conclusion： The prognosis of type Ⅰ is better. The prognosis of those with acetabular dysplasia is poor.

关 键 词：股骨头骨软骨炎 X线平片 分型 

分 类 号：R726.8[医药卫生—儿科]