近十年夏科氏关节病的研究综述  

A review of research on Charcot neuropathic osteoarthropathy in the past decade

作　　者：刘晓婷 宫玉锁[2] 元宝华 光佳如 王玉泉[2] 黄康 刘同科 康付平 杨琛 吕汐妍[2] Xiao-Ting LIU;Yu-Suo GONG;Bao-Hua YUAN;Jia-Ru GUANG;Yu-Quan WANG;Kang HUANG;Tong-Ke LIU;Fu-Ping KANG;Chen YANG;Xi-Yan LYU(Clinical College of Chinese Medicine,Gansu University of Chinese Medicine,Lanzhou 730000,China;Department of Orthopedics,Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730000,China;Sports Science and Technology Center of Ningxia Hui Autonomous Region,Yinchuan 750001,China)

机构地区：[1]甘肃中医药大学中医临床学院,兰州730000 [2]甘肃省中医院骨科,兰州730000 [3]宁夏回族自治区体育科学技术中心,银川750001

出　　处：《数理医药学杂志》2023年第5期385-391,共7页Journal of Mathematical Medicine

基　　金：甘肃省卫生行业科研计划项目(GSWSKY-2019-89);兰州市科技局人才创新创业项目(2017-RC-58)。

摘　　要：目的 探讨夏科氏关节病的分期、发病机制、影像学检查、发病部位的临床表现及治疗方向。方法 分析夏科氏关节病的临床资料,检索2011年至2022年国内外发表的相关文献,逐一分析检索文献纳入研究,总结其临床表现、治疗方法及随访预后。结果 检索共获得302篇文献,最终纳入11篇。夏科氏关节病发病机制复杂,临床以糖尿病病史患者多累及足踝部病变为多见;脊髓损伤、脊髓痨多累及脊柱;梅毒感染好发于膝关节,其次是髋关节;脊髓空洞症神经病变多发生在肩部,其次是肘和腕关节。结论 夏科氏关节病患者的治疗原则是在控制原发病平稳的基础上,再进行病变部位的处理。Objective To investigate the stage,mechanism,imaging studies,clinical manifestations at the onset site,and treatment direction of Charcot neuropathic osteoarthropathy(CN).Methods The clinical data of CN were analyzed,and relevant literatures published at home and abroad from 2011 to 2022 were retrieved,and the studies were analyzed one by one to summarize their clinical manifestations,treatment methods and follow-up prognosis.Results 302 articles were searched and 11 articles were ultimately included.CN has a complex pathogenesis and involves many foot and ankle pathologies in clinic in patients with a history of diabetes mellitus;spinal cord injury(SCI),spinal TB with multiple spinal involvement.Syphilis infection has a predilection for the knee,followed by the hip.Syringomyelia neuropathy mostly occurs in the shoulder,followed by the elbow and wrist joints.Conclusion The principle of management of patients with CN is to control the original disease uneventfully before proceeding with management of the lesion site.

关 键 词：夏科氏关节病 痛觉减退 综述 

分 类 号：R684[医药卫生—骨科学]