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| 髋关节一过性骨质疏松症3例临床分析 |
| Clinical analysis of transient osteoporosis of the hip in 3 cases |
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| DOI：10.3969/j.issn.1006.7108.2015.09.020 |
| 中文关键词: ：髋关节一过性骨质疏松症 临床特点 影像学特征 |
| 英文关键词:Transient osteoporosis of the hip Clinical feature Imaging feature |
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| 中文摘要: |
| 目的 分析、总结髋关节一过性骨质疏松症(transient osteoporosis of the hip，TOH)的临床特点、影像学特点、诊断及鉴别诊断要点，以提高临床医师对TOH的认识和诊治水平。方法 回顾性分析我院骨科2012年5月至2014年3月诊治的3例 TOH患者的临床资料，包括临床表现、髋部影像学检查、实验室检查、病理学检查等资料，并进行分析、总结。结果 TOH临床特点为主要表现为患髋关节周围疼痛及因疼痛引起的跛行步态，负重时疼痛加重，关节内收、外展及旋转活动轻度受限，MRI 及X光片检查提示异常，3例患者均经MRI检查，1例病理学检查确诊为TOH。结论 熟练掌握TOH的临床特点、影像学特征、诊断及鉴别诊断要点，有助于TOH的早期诊断，可明显减少其误诊、误治率。 |
| 英文摘要: |
| Objective To study and to summarize the clinical feature，imaging feature，key points for diagnosis and differential diagnosis of transient osteoporosis of the hip (TOH) so as to improve the understanding， diagnosis， and treatment of TOH. Methods Clinical data of 3 patients with TOH in the Department of Orthopedics in our hospital from May 2012 to March 2014 were studied retrospectively，including clinical manifestation，hip image，laboratory test and pathological examination. Results Clinical features of TOH were hip joint pain and coxarthropathy due to the pain. The pain was increased after loading. The activity of the hip joint was limited. MR imaging and X-ray indicated abnormal image. All patients were diagnosed as TOH by MRI，and 1 case was by pathological examination. Conclusion Mastering the clinical feature，imaging feature，and key points for diagnosis and differential diagnosis of TOH may facilitate early diagnosis of TOH and reduce misdiagnosis and mistreatment significantly. |
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