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肾移植后的股骨头缺血性坏死 被引量:1

Necrosis of the femoral head after renal transplantation:Experience in 31 transplant recipients and review of the literature
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摘要 目的 :通过病例分析及文献复习提出肾移植后股骨头坏死的发生、临床、X线及治疗上的特点。方法 :随访31例肾移植患者 ,对其临床资料结合文献报道进行分析。结果 :男性 2 3例 ,女性 8例 ,平均年龄 35 .32岁 ,随访时平均移植后 2年 3个月。发现 1例高度怀疑股骨头坏死。另有 5例发现股骨转子间有不规则骨密度增高区 ,这与文献报道不一。对比有异常 X线表现与无异常表现患者移植后一月内激素总量未发现显著性差异。结论 :肾移植后股骨头坏死的发生、临床、X线及治疗上均有其特殊性 。 Objective:Through the cases analysis and literature review,to put forward the characteristics of occurrence,clinical and X-ray presentations and treatment of osteonecrosis of the femoral head after renal transplantation.Method:Thirty one cases of renal transplants were followed-up for occurrence of femoral head necrosis only.Result:One case of highly suspected osteonecrosis of the femoral head was found.Other abnormal X-ray presentation were found in 5 cases which showed irregular increase in bone density in inertrochanteric region of the femur which had not been reported in the literature before.No significant difference in the average early (first month post-transplantation) total dosage of steroid was found between the cases who had abnormal X-ray presentation and what who had not.Conclustion:Combining with the literature review,we find the characteristics of occurrence,clinical and X-ray presentations and treatment of osteonecrosis of the femoral head after renal transplantation.It is helpful to clinical word Know the characteristics.
出处 《实用骨科杂志》 2003年第4期289-293,共5页 Journal of Practical Orthopaedics
关键词 肾移植 股骨头缺血性坏死 术后并发症 晚期尿毒症 随访 X线检查 Osteonecrosis of the femoral head,Renal transplantation
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