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ankylosis of hip
相关语句
  髋关节强直
     TRANSPLANTATION OF PERIOSTEUM FOR TREATING THE ANKYLOSIS OF HIP
     游离骨膜移植治疗髋关节强直
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  “ankylosis of hip”译为未确定词的双语例句
     at the same time X ray films showed ankylosis of hip at normal position in 10 patients, dislocation with ankylosis of hip in 13 patients, arthritic disorder of hip in 7 patients, skeletal dysplacia of ischium and pubis in 18 patients, and skeletal dysplasia of femur in 22 patients All patients had osteoporosis.
     X线发现 ,髋原位强直 10例 ,髋移位强直或脱位 13例 ,髋破坏 7例 ; 患侧坐、耻骨发育不良 18例 ,患侧股骨发育不良 2 2例 ;
短句来源
  相似匹配句对
     TRANSPLANTATION OF PERIOSTEUM FOR TREATING THE ANKYLOSIS OF HIP
     游离骨膜移植治疗髋关节强直
短句来源
     Functional Analysis of Unileteral Hip Ankylosis in 44 Cases
     44例一侧髋关节强直的功能分析
短句来源
     (4)ankylosis;
     (4 )关节强直 ;
短句来源
     Conclusion:Treatment of adolescent hip ankylosis by free periosterum transplantation is effective.
     结论:骨膜移植治疗青少年髋关节强直是一种可供选择的方法
短句来源
     Clinical features and management of ankylosis after focus Debri'dement of tuberculosis of the hip
     髋关节结核病灶清除术后关节僵硬的特点及治疗
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Athletic load is an important factor that has an influence on the growth, development and mature of skeleton. In patients who had the functional disorder of hip joint resulting from hip diseases during their teen ages, skeletal dysplasia and osteoporosis would occur. The present paper reported 30 cases of unilateral hip disorder. The patients were 20 men and 10 women whose age ranged from 2 to 20 years. The course of disease lasted 2 to 49 years. Their primary diseases included suppurant hip arthritis (16cases),...

Athletic load is an important factor that has an influence on the growth, development and mature of skeleton. In patients who had the functional disorder of hip joint resulting from hip diseases during their teen ages, skeletal dysplasia and osteoporosis would occur. The present paper reported 30 cases of unilateral hip disorder. The patients were 20 men and 10 women whose age ranged from 2 to 20 years. The course of disease lasted 2 to 49 years. Their primary diseases included suppurant hip arthritis (16cases), tuberculous arthritis of hip (10 cases), and others (4 cases). The follow up study revealed fixed hip joint in 18 cases, positive Thomas sign in 22 cases, limited motion of hip joint in 12 cases, and unequal length of lower extremities in 25 cases; at the same time X ray films showed ankylosis of hip at normal position in 10 patients, dislocation with ankylosis of hip in 13 patients, arthritic disorder of hip in 7 patients, skeletal dysplacia of ischium and pubis in 18 patients, and skeletal dysplasia of femur in 22 patients All patients had osteoporosis. A discussion about the basic mechanism for skeletal dysplasia and osteoporosis following inadequate athletic load is presented. We believe that the skeletal dysplasia and osteoporosis in our group were caused by the diseases that led to inadequate athletic load. Therefore it is important to provide a thorough treatment and help the patients to their strength to be loaded in time.

运动负荷是骨生长、发育、成熟的重要影响因素。儿童及青少年时期患髋关节疾患并造成髋功能障碍 ,易导致患侧肢体骨发育不良及骨质疏松。我们报告 30例单侧髋关节受累病例 ,其中男性 2 0例 ,女性 10例 ;患病时年龄 2~ 2 0岁 ,从患病到随访时的病程 2~ 49年。原始疾病 :化脓髋 16例 ,髋结核 10例 ,其它 4例。随访时局部发现 ,髋强直 18例 ,髋活动受限 12例 ,双下肢不等长 2 5例 ,托马氏征阳性 2 2例 ;X线发现 ,髋原位强直 10例 ,髋移位强直或脱位 13例 ,髋破坏 7例 ;患侧坐、耻骨发育不良 18例 ,患侧股骨发育不良 2 2例 ;30例均有骨质疏松。我们陈述了运动不足性骨发育不良与骨质疏松发生的基础 ,认为本组病例的骨发育不良与骨质疏松 ,是由疾病所致患侧肢体负重及运动负荷减少所致 ,指出及时、彻底治疗并恢复儿童及青少年患者患肢负重能力的重要性

AIM To compare the effect on hip involvement in patients with ankylosing spondylitis by simple drug therapy and drug plus hip X-ray radiotherapy so as to evaluate the effectiveness and safety of X-ray radiotherapy on the hip involvement in the patients with ankylosing spondylitis. METHODS ① Totally 137 inpatients with ankylosing spondylitis and hip involvement were selected from the Department of Rheumatology and Immunology Baogang Hospital affiliated to Shanghai Second Medical University and Changhai Hospital...

AIM To compare the effect on hip involvement in patients with ankylosing spondylitis by simple drug therapy and drug plus hip X-ray radiotherapy so as to evaluate the effectiveness and safety of X-ray radiotherapy on the hip involvement in the patients with ankylosing spondylitis. METHODS ① Totally 137 inpatients with ankylosing spondylitis and hip involvement were selected from the Department of Rheumatology and Immunology Baogang Hospital affiliated to Shanghai Second Medical University and Changhai Hospital of the Second Military Medical University of Chinese PLA between January 1999 and December 2001. 52 of the 72 cases who received drug therapy plus hip X-ray radiotherapy were selected as the radiotherapy group and 52 of the 65 cases who only received drug therapy and matched with those in the radiotherapy group in age gender disease course and disease condition were selected as the control group. ② The patients in both groups were treated with a kind of non-steroid anti-inflammatory drug NSAID plus sulfasalazine and methotrexate besides those in the radiotherapy group were treated with X-ray radiotherapy by electronic linear accelerator. The total irradiation dose of a single hip joint was 10-20 Gy with an average of 15.4±3.5 Gy by 6-15 times once a day. ③ The disease conditions were evaluated with Bath ankylosing spondylitis disease activity index BASDAI none as 0 point severe as 10 points 2-hour morning stiffness as 10 points and Bath ankylosing spondylitis functional index BASFI easy to complete as 0 point unable to complete as 10 points. The hip joint function was scored according to the Beidaihe standard set by Chinese Society of Surgery in 1993 it was 100-point system the results of clinical examination was 4 items pain living ability range of motion walking distance each item had 6 grades and each grade as corresponding score grade 1 was the worst and grade 6 was the best and the add up of the 4 items was recorded as the total score. ④ CT staging of hip joint involvement was evaluated with the standards set by Chen HS et al stage Ⅰ having the clinical symptoms of ankylosing spondylitis hip involvement cystic degeneration of acetabulum or/and cystic degeneration of femoral head in CT without narrow of joint space stage Ⅱ cystic degeneration of acetabulum or/and cystic degeneration of femoral head stage Ⅲ cystic degeneration of acetabulum narrow of joint space disappeared fibrous or bony ankylosis of hip joint. ⑤ Erythrocyte sedimentation and plasma C reactive protein were detected with Westergren method and immunoturbidimetry respectively. ⑥ The patients in both group still continued the drug therapy after discharge the clinical data including symptoms physical signs BASAI BASFI score of hip joint function hip involvement CT staging inflammatory indexes and adverse reaction were followed up for 3 years. ⑦ The counting and measurement data were compared with the chi-square test or t test. RESULTS ① At the 1st 2nd and 3rd years of follow-up 47 40 and 32 cases in the radiotherapy group and 46 38 and 31 cases in the control group were followed up respectively. ② Score of hip joint function It was obviously higher at admission than at discharge in both groups P < 0.05. At the 1st and 2nd years of follow-up it was obviously higher in the radiotherapy group than in the control group P < 0.05 and obviously higher than those at admission in both groups P < 0.05. At the 3rd-year of follow-up it was close between the radiotherapy group and the control group and obviously higher than those at admission in both groups P < 0.05. ③ Low back pain and time of morning stiffness At discharge and the 1st 2nd and 3rd years of follow-up the incidence rates of low back pain were markedly lower than those at admission and the time of morning stiffness was obviously shorter than those at admission P < 0.05. The incidence rates of low back pain and time of morning stiffness at each time point were close between the two groups. ④ BASAI and BASFI BASAI and BASFI at discharge and the 1st 2nd and 3rd years of follow-up were remarkably lower than those at admission P < 0.05 and those were close at each time point between the two groups. ⑤ Comparison of inflammatory indexes It was obviously lower at discharge and the 1st 2nd and 3rd years of follow-up were remarkably lower than at admission in both groups P < 0.05 and it was close at each time point between the two groups. ⑥ Changes of hip involvement CT staging At the 1st 2nd and 3rd years of follow-up the hip involvement CT changes at stages Ⅰ and Ⅱ were close between the two groups and had no obvious difference as compared with those at admission. As compared with at admission the changes at stage Ⅱ was increased by 6.1% in the radiotherapy group and by 10% in the control group and there were significant differences between the two groups P < 0.05. ⑦ Adverse events and side effects The main adverse events in the local X-ray radiotherapy of hip joint were gastrointestinal reaction leucopenia and increase of hepatic enzyme which were not obviously different from those in the control group. CONCLUSION ① X-ray radiotherapy combined with drug therapy which could relieve the hip pain effectively and postpone the deterioration of the hip lesion is better than pure drug therapy for the involved hip joints of the patients with ankylosing spondylitis. It is also indicated that the effect of the X-ray radiotherapy would last two years. ② Both pure drug therapy and X-ray radiotherapy combined with drug therapy can not stop the progress of hip joint involvement but X-ray radiotherapy combined with drug therapy can postpone it. ③ Drug therapy can control the activity of disease and significantly ameliorate erythrocyte sedimentation and plasma C reactive protein but radiotherapy of hip joint has no significant influence on the disease activity of the whole body and inflammatory indexes because of its local action. ④ Local radiotherapy of hip joint has no obvious different adverse events as compared with those of pure drug therapy.

目的:比较单纯药物治疗与药物联合髋关节X射线放射治疗对强直性脊柱炎髋关节病变的疗效,以评价放射疗法对强直性脊柱炎髋关节病变的有效性及安全性。方法:①选择1999-01/2001-12在上海第二医科大学附属宝钢医院和第二军医大学长海医院风湿免疫科住院治疗且有髋关节病变的强直性脊柱炎患者137例。从药物治疗联合髋关节放射疗法(放疗)治疗72例中随机选择52例为放疗组,从单纯药物治疗者65例中选择与放疗组年龄、性别、病程和病情相匹配的52例为对照组。均签署知情同意书。②两组均选择一种非甾体类抗炎药联合柳氮磺胺吡啶和甲氨蝶呤治疗,放疗组在药物治疗基础上对受累髋关节采用电子直线加速器X线放疗,每个受累髋关节进行1个疗程总照射剂量为10~20Gy的放疗,平均(15.4±3.5)Gy,分6~15次照射。③病情评估采用巴氏脊柱炎活动指数(无为0分,严重为10分,晨僵2h为10分)和巴氏脊柱炎功能指数(容易完成为0分,无法完成为10分)。髋关节功能参照中华外科学会1993年北戴河标准进行评分,该标准为100分制,临床检查结果为4项(疼痛、生活能力、关节活动度、行走距离),每项分为6级,每级均有对应的分值。1级最差,6级最好。按...

目的:比较单纯药物治疗与药物联合髋关节X射线放射治疗对强直性脊柱炎髋关节病变的疗效,以评价放射疗法对强直性脊柱炎髋关节病变的有效性及安全性。方法:①选择1999-01/2001-12在上海第二医科大学附属宝钢医院和第二军医大学长海医院风湿免疫科住院治疗且有髋关节病变的强直性脊柱炎患者137例。从药物治疗联合髋关节放射疗法(放疗)治疗72例中随机选择52例为放疗组,从单纯药物治疗者65例中选择与放疗组年龄、性别、病程和病情相匹配的52例为对照组。均签署知情同意书。②两组均选择一种非甾体类抗炎药联合柳氮磺胺吡啶和甲氨蝶呤治疗,放疗组在药物治疗基础上对受累髋关节采用电子直线加速器X线放疗,每个受累髋关节进行1个疗程总照射剂量为10~20Gy的放疗,平均(15.4±3.5)Gy,分6~15次照射。③病情评估采用巴氏脊柱炎活动指数(无为0分,严重为10分,晨僵2h为10分)和巴氏脊柱炎功能指数(容易完成为0分,无法完成为10分)。髋关节功能参照中华外科学会1993年北戴河标准进行评分,该标准为100分制,临床检查结果为4项(疼痛、生活能力、关节活动度、行走距离),每项分为6级,每级均有对应的分值。1级最差,6级最好。按4项合计总分记录。④采用陈海松等髋关节病变CT分期标准评估髋关节病变CT分期(Ⅰ期:有强直性脊柱炎髋关节病变的临床症状,CT出现髋臼囊变或/和股骨头的囊变,无关节间隙变窄;Ⅱ期:髋臼囊变合并出现关节间隙变窄;Ⅲ期:髋臼囊变,关节间隙消失,髋关节纤维性或骨性强直)。⑤血沉和血浆C反应蛋白分别采用魏氏法和免疫比浊法测定。⑥两组患者出院后继续原药物治疗,并随访3年的临床资料,包括症状、体征、巴氏脊柱炎活动指数和功能指数、髋关节功能评分、髋关节病变CT分期、炎性指标等实验室检查及不良反应。⑦计数和计量结果比较分别采用卡方检验或t检验。结果:①放疗组:第1,2,3年随访47,40,32例,对照组分别为46,38,31例。②髋关节功能评分:两组患者出院时明显高于入院时(P<0.05)。随访第1,2年,放疗组明显高于对照组(P<0.05);两组明显高于入院时(P<0.05)。随访第3年,放疗组与对照组相近;两组明显高于入院时(P<0.05)。③下腰痛、腰背晨僵时间:两组患者出院时、随访第1,2,3年下腰痛发生率明显低于入院时,晨僵时间明显短于入院时(P<0.05)。两组间各时间段下腰痛发生率和晨僵时间相近。④巴氏脊柱炎活动指数和功能指数:两组患者出院时、随访第1,2,3年明显低于入院时(P<0.05),两组间各时间段相近。⑤炎性指标的比较:两组患者出院时、随访第1,2,3年明显低于入院时(P<0.05);两组间各时间段相近。⑥髋关节病变CT分期改变:两组患者随访第1,2,3年髋关节病变CTⅠ期和Ⅱ期改变发生情况相近,且均与入院时差异不明显。放疗组患者随访第3年与入院时比较Ⅱ期改变增加了6.1%,而对照组增加了10%,两组比较差异明显(P<0.05)。⑦不良事件和副反应:髋关节局部X线放疗不良反应以胃肠道反应、血象降低、肝酶升高为主,与对照组差异不明显。结论:①放疗联合药物治疗改善强直性脊柱炎患者髋关节功能效果优于单纯药物治疗,且该功能改善主要集中在放疗后2年内,因此2年可作为一个有效放疗周期。②单纯药物和放疗联合药物治疗都不能阻止髋关节病变病情的进展,放疗联合药物治疗有延缓髋关节病变病情进展的趋势。③药物治疗可控制病情活动和显著改善血沉和血浆C反应蛋白,而髋关节放疗由于是局部作用,因而对全身病情活动和炎性指标无显著影响。④髋关节局部放疗和单纯药物的不良反应发生情况差异不明显。

 
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