| 儿童股骨头坏死对颈干角影响的X线观察 |
| 投稿时间：2016-12-03 修订日期：2017-01-07 点此下载全文 |
| 引用本文：何家维,陈伟,杨丽丽,郭安娜,李清萍.儿童股骨头坏死对颈干角影响的X线观察[J].医学研究杂志,2017,46(9):53-56 |
| DOI：
10.11969/j.issn.1673-548X.2017.09.015 |
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| 基金项目:浙江省医药卫生科学研究项目（2013KYB174）；浙江省温州市科技计划项目（Y20160470） |
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| 中文摘要:目的 探讨儿童股骨头坏死后对颈干角发育的影响。方法 在52例单侧股骨头坏死的儿童骨盆X线平片上，进行颈干角的测量（包括患侧和健侧），并按照年龄及病情进行分组比较。结果 52例股骨头坏死均为单侧发病，其中右侧20例，左侧32例，按照Catterall标准：Ⅰ、Ⅱ型分别有7例和16例（A组），Ⅲ、Ⅳ型分别有21例和8例（B组）。颈干角患侧148.9°±13.3°，健侧156.1°±10.2°，健患两侧比较差异有统计学意义（P均<0.01）；A组颈干角患侧较健侧小6.2°±2.3°，B组颈干角变小9.8°±3.7°，A、B组间比较差异有统计学意义（P均<0.01）。发病年龄<9岁患儿组颈干角患侧较健侧小7.3°±3.1°，≥9岁患儿组颈干角小9.2°±4.3°，两者比较差异无统计学意义（P>0.05）。结论 儿童股骨头坏死会影响股骨颈的发育和塑形，使颈干角变小，且病情越严重，后遗影响可能越大。 |
| 中文关键词:骨头坏死 儿童 X线 颈干角 测量 |
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| Observations of the Effects of Perthes Disease on the Neck Shaft Angle by the Radiograph |
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| Abstract:Objective To study the influences of Perthes disease on the development of neck shaft angle(NSA). Methoods We measured NSA in the 52 cases with unilateral osteonecrosis of the femoral head of the pelvic X-ray of the children, and compared the results in groups accroding to age and patient's condition. Results The 52 cases all were attacked unilaterally, 20 cases of them occurred on the right, 32 cases on the left. Accroding to Catterall standards:there were 7 cases in type Ⅰ, 16 cases in type Ⅱ(group A), 21 cases in type Ⅲ, 8 cases in type Ⅳ(group B). The NSA of the affected side was 148.9°±13.3°, the normal side was 156.1°±10.2°.In group A, the NSA of diseased side decreased by 6.2°±2.3°than the normal side. In group B, the NSA of diseased side decreased by 9.8°±3.7°.The comparison between groups mentioned above had significant difference(P<0.01). In the group of sick children whose age of onset were less than 9 years old. The NSA of the affected side was 7.3°±3.1°, smaller than the normal side. In the group of more than 9 years old, the NSA of the affected side was 9.2°±4.3°, smaller than the normal side. There were no significant difference between the two groups(P>0.05). Conlusion Perthes disease can influence the development and reconstruction of NSA, and also be able to lessen the NSA. Furthermore, the worse of illness, possibly the more obvious the sequelae could be. |
| keywords:Perthes disease Children X-ray Neck shaft angle Measure |
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