酒精性_____酒精性；_晚期；

酒精性晚期股骨头缺血性坏死

http://www.100md.com 《中国矫形外科杂志》 2006年第9期

酒精性,,酒精性；,晚期；,股骨头坏死,摘要,关键词,1临床资料,2讨论,参考文献

     摘要：[目的]探讨酒精性晚期股骨头坏死与长期、过量饮酒的关系。[方法]回顾本院165例人工全髋关节置换病例。分析其中27例酒精性晚期股骨头坏死的临床资料，结合文献复习，探讨酒精性股骨头坏死的发病机理。长期大量饮酒与股骨头缺血性坏死、血液生化学和凝血功能等之间的关系。比较文献报道的实验结果有何异同。[结果]大量长期饮酒可导致股骨头坏死，是多方面因素综合的结果；日均饮酒750 ml以上者，有发生晚期双侧或单侧股骨头坏死的危险；血液生化观察指标无明显改变，但与凝血功能降低有关；股骨头坏死与髋关节的骨性关节炎可同时发生。[结论]长期大量饮酒，日均饮酒量大于750 ml以上者，有导致股骨头坏死的可能；血液生化的改变无特异性的意义；坏死的严重程度与酒量多少、时间长短有关；酒精性股骨头缺血性坏死的晚期患者，行人工全髋关节置换应是最佳选择，但这类患者术中术后有渗血较多的倾向。

     关键词：酒精性；晚期；股骨头坏死

    Advanced alcoholic osteonecrosis of femoral head∥LUO YuChen,XIAO Gang,CHEN Jin,et alZhanjiang Medical Central,Zhanjiang 524037

    Abstract：[Objective]To discuss the relationship between AAONFH(advanced alcoholic osteonecrosis of femoral head)and extended overdose drinking[Method]Reviewed 165 cases of total hip arthroplasty,to analyzed the clinical data among 27 AAONFH cases,reviewed the literatures,discussed the pathogenesis of AAONFH and the relationship between blood biochemistry and blood cloting funtion and compared the experimental results among literatures[Result]Theres various factors resulted in osteonecrosis of the femoral head associated with alcohol longterm over intakeIndividuals consuming more than 750 ml of alcohol daily were at greater risk of double or half ONFH,Theres no change in biochemical test,but blood clotting funtion in this case would degrade,osteoarthritis of hip would synchronize[Conclusion]Individuals consuming more than 750 ml of alcohol daily have the potentiality of ONFH;Its no specificity significance in biochemical test,the necrosis extent of the femoral head is relative to the capacity and times of alcohol intakeTHR(total hip replacement)is the best treatment for AAONFH,but theres more staxis potentiality in this cases ......

百拇医药网 http://www.100md.com/html/DirDu/2006/06/10/00/84/77.htm

您现在查看是摘要页，全文长 8815 字符。