摘要
股骨头坏死是指股骨头血供受损或中断,导致骨髓成分及骨细胞死亡,随后发生修复,继而导致股骨头结构改变甚至塌陷的系列病理改变与临床表现,是目前骨科领域的世界性难题和挑战。股骨头坏死一经诊断,则应分期。分期的目的是用于指导制订治疗方案,判断预后,评估疗效。国际上常用的有Ficat和Alert分期、Marcus、Enneking和Massam等分期、Sugioka分期、
Osteonecrosis of femoral head is a kind of chronic, progressive and disabling disease. Once the diagnosis is established, staging classification is needed for guidance of treatment, prognosis and evaluation of curative effects. Currently, many staging classification methods are used, such as Ficat and Alert, Marcus, Enneking ＆ Massam, Sugioka, the university of Pennsylvania, ARCO staging system and Japan research institute （ JIC ） classification, etc. Each of these systems has its advantages and application values, as well as its shortcomings and limitations. And the most widely applied is 4 stages of Ficat staging system in early times, which has been modified to 6 stages now and gradually replaced by ARCO and the university of Pennsylvania staging system. Chinese doctors have a large number of cases, and have found their respective limitations of the original staging and classification systems in clinical practice. We＇ve made our own Chinese staging system and China-Japan Friendship Hospital （ CJFH ） classification, these staging and classification systems still need to be promoted at present.
出处
《中国骨与关节杂志》
CAS
2017年第6期465-468,共4页
Chinese Journal of Bone and Joint
基金
国家自然科学基金(81372013
81672236)
中日友好医院青年科技英才计划(2004-QNYC-A-06)
关键词
股骨头坏死
分期
分型
Femur head necrosis
Staging
Types
