不稳定型股骨头骨骺滑脱的诊断和治疗进展  

Diagnosis and treatment progress of unstable slipped capital femoral epiphysis

作　　者：严维[1] 张立军[1] YAN Wei ZHANG Li-jun(Department of Pediatric Orthopedics, Shengjing Hospital of China Medical University, Shenyang, Liaoning, 110004, China)

机构地区：[1]中国医科大学附属盛京医院小儿骨科,沈阳110004

出　　处：《中国骨与关节杂志》2017年第7期535-540,共6页Chinese Journal of Bone and Joint

摘　　要：股骨头骨骺滑脱 （ slipped capital femoral epiphysis, SCFE ） 是指生长发育较快的青少年患者在承受剪切力时,股骨近端骺板变宽,股骨头骨骺相对于股骨颈出现移位和旋转 [1].SCFE 发生率为 1~24.6 / 100000,多发生在 8~15 岁儿童,可伴有低能量的外伤史 [2-3],波利尼西亚人种和尼格罗人种比高加索人种更多见 [2],男性发生率高于女性,左侧发生率高于右侧 [4].SCFE 与遗传、机械、内分泌和代谢因素有关,肥胖患者易患此病 [5].Unstable slipped capital femoral epiphysis （ SCFE ） is difficult to treat and is associated with a high incidence of complications, which remains a lot of controversies and challenges. Recently, the schalors have focused on the evidence to evaluate physeal stability, the timing to perform surgery, the methods to evaluate epiphyseal hemodynamics preoperatively and intraoperatively, the preference of fixation procedure, and the incidence of avascular necrosis of femur head. This article reviewed the multifarious literatures in the diagnosis and treatment of unstable SCFE in recent years.

关 键 词：股骨头骨骺滑脱症 股骨头缺血性坏死 骨骺血运 不稳定型 

分 类 号：R726.8[医药卫生—儿科]