临床骨科杂志2017，Vol.20Issue(2)：169-172,4.DOI:10.3969/j.issn.1008-0287.2017.02.015
非创伤性股骨头坏死髋关节积液与坏死分期及髋关节功能的相关性分析
Analysis on the correlation between joint effusion and stage of necrosis and joint function in nontraumatic osteonecrosis of femoral head
摘要
Abstract
Objective To explore the correlation between the joint effusion and stage of necrosis and joint function in nontraumatic osteonecrosis of femoral head (NONFH),so as to further understand the effect of joint effusion in NONFH.Methods The data of 46 cases(74 hips) with NONFH were analyzed retrospectively.According to the MRI, the joint effusion of hip were divided into 0~Ⅲ grades.According to the ARCO staging system, NONFH was divided intoⅠ~Ⅳ stages.Harris score criteria was used to judge the hip joint function and these patients were divided into 4 grades.The correlation between joint effusion and ARCO stage and Harris score was analysed respectively.Results There were 65 hips joint effusion occurred among 74 hips of femoral head necrosis.ARCO stage correlated with joint effusion grading(r=0.50,P<0.001),the results showed significant difference in joint effusion grading among these necrosis stagings (x2=24.81,P<0.001).With the advance of necrosis from stageⅠto stage Ⅲ, the joint effusion grading increased gradually.Joint effusion was most commonly seen in stage Ⅲ of NONFH.Harris score grading correlated with joint effusion grading(r=0.52,P<0.001), the results showed significant difference in joint effusion grading among these Harris gradings (x2=21.97,P<0.001).With the decrease of Harris score, the joint effusion grading increased gradually.Conclusions The incidence of joint effusion is correlated significantly with stage of necrosis and Harris score in NONFH.To a certain extent, joint effusion can be used as an auxiliary indicator to predict the occurrence and progression of disease.关键词
非创伤性股骨头坏死/关节积液/Harris评分/ARCO分期Key words
nontraumatic osteonecrosis of femoral head/joint effusion/Harris score/ARCO stage分类
医药卫生引用本文复制引用
唐昊,常俊,陆鸣,高维陆,詹维强,尹宗生..非创伤性股骨头坏死髋关节积液与坏死分期及髋关节功能的相关性分析[J].临床骨科杂志,2017,20(2):169-172,4.基金项目
安徽医科大学校科研基金(编号:2015xkj042) （编号:2015xkj042）
