股骨头坏死临床诊疗规范
李子荣
摘要(Abstract):
<正>股骨头坏死(osteonecrosis of the femoral head,ONFH)又称缺血性股骨头坏死(avascular necrosis,AVN),系骨科常见且难治性疾病。由于非创伤性ONFH病理机制尚未完全明了,因此从源头上防治此病尚不可能,但目前国内外专家对诊疗主要方面存在共识[1],国内发表的专家建议(2007)[2]和专家共识(2012)[3]对股骨头坏死规范化的诊疗起了重要作用。
关键词(KeyWords):
基金项目(Foundation):
作者(Author): 李子荣
参考文献(References):
- [1]Mont MA,Jones LC,Hungerford DS.Nontraumatic osteonecrosis of the femoral head:ten years later[J].J Bone Joint Surg Am,2006,88(5):1117-1132.
- [2]张鹤山,李子荣.股骨头坏死诊断与治疗的专家建议[J].中华骨科杂志2007,27(2):146-148.
- [3]赵德伟,胡永成.成人股骨头坏死诊疗标准专家共识(2012年版)[J].中华骨科杂志,2012,32(6):606-610.
- [4]Powell C,Chang C,Naguwa SM.Steroid induced osteonecrosis:an analysis of steroid dosing risk[J].Autoimmun Rev,2010,9(11):721
- [5]李子荣,孙伟,屈辉,等.皮质类固醇与骨坏死关系的临床研究[J].中华外科杂志,2005,43(16):1048-1053.
- [6]Nakamura J,Harada Y,Oinuma K,et al.Spontaneous repair of asymptomatic osteonecrosis associated with corticosteroid therapy in systemic lupus erythematosus:10-year minimum follow-up with MRI[J].Lupus,2010,19(11):1307-1314.
- [7]赵德伟,杨磊,田丰德,等.大连市潜水员股骨头坏死发病率的流行病学调查报告[J].中华骨科杂志,2012,32(6):521-525.
- [8]Mont MA,Zywiel MG,Marker DR,et al.The natural history of untreated asymptomatic osteonecrosis of the femoral head:a systematic literature review[J].J Bone Joint Surg Am,2010,92(12):2165-2170.
- [9]Lieberman JR,Engstrom SM,Meneghini RM,et al.Which factors influence preservation of the osteonecrotic femoral head[J].Clin Orthop,2012,470(2):525-534.
- [10]李子荣.骨坏死[M].北京:人民卫生出版社,2012:112-163.
- [11]何伟,陈镇秋,张庆文,等.蛙式侧位分型在植骨支撑术治疗酒精性股骨头坏死中的意义[J].中华关节外科杂志(电子版),2011,5(1):27-33.
- [12]Ito H,Matsuno T,Minami A.Relationship between bone marrow edema and developmant of symptoms in patients with osteonecrosis of the femoral head[J].AJR,2006,186:1761-1770.
- [13]Ficat RP.Idiopathic bone necrosis of the femoral head.Early diagnosis and treatment[J].J Bone Joint Surg Br,1985,67(1):3-9.
- [14]李子荣.类似股骨头坏死髋关节疾病的鉴别诊断[J].中华骨科杂志,2010,30(10):1011-1014.
- [15]Gardeniers JWM.A new international classification of osteonecrosis of the ARCO committee on terminology and classification[J].ARCO News Letter,1992,4(1):41-46.
- [16]Steinberg ME,Brighton CT,Corces A,et al.Osteonecrosis of the femoral head.Results of core decompression and grafting with and without electrical stimulation[J].Clin Orthop,1989,249(249):199-208.
- [17]鲁超,刘洪智,刘道兵,等.股骨头坏死病灶分布规律探讨[J].中国矫形外科杂志,2014,22(5):396-400.
- [18]陈卫衡,谢斌,刘道兵,等.髓芯减压植骨术治疗股骨头坏死临床疗效的动态研究[J].中华关节外科杂志(电子版),2014,8(5):578-584.
- [19]李子荣,刘朝晖,孙伟,等.基于三柱结构的股骨头坏死分型-中日友好医院分型[J].中华骨科杂志,2012,32(6):515-520.
- [20]黄立新,董天华,谢道海,等.美多巴治疗早期非创伤性股骨头坏死的近期疗效观察[J].中华骨科杂志,2010,30(7):641-645.
- [21]Hernigou P,Beaujean F.Treatment of osteonecrosis with autologous bone marrow grafting[J].Clin Orthop,2002,405(405):14-23.
- [22]Zhao D,Cui D,Wang B,et al.Treatment of early stage osteonecrosis of the femoral head with autologous implantation of bone marrowderived and cultured mesenchymal stem cells[J].Bone,2012,50(1):325-330.
- [23]Wang YS,Zhang Y,Li JW,et al.A modified technique of bone grafting pedicled with femoral quadratus for alcohol-induced osteonecrosis of the femoral head[J].Chin Med J(Engl),2010,123(20):2847-2852.
- [24]李子荣,孙伟,史振才,等.加入和未加骨形态发生蛋白2的打压植骨术治疗股骨头坏死[J].中国骨与关节外科,2012,5(5):377-381.
- [25]Sugioka Y,Yamamoto T.Transtrochanteric posterior rotational osteotomy for osteonecrosis[J].Clin Orthop,2008,466(50):1104-1109.
- [26]赵德伟.应认真做好股骨头缺血性坏死修复治疗的术后功能评价[J].中华医学杂志,2007,87(41):2881-2883.