临床误诊误治2018，Vol.31Issue(5)：36-38,3.DOI:10.3969/j.issn.1002-3429.2018.05.010
原发性髋关节骨关节炎误诊为股骨头坏死六例分析
Clinical Analysis of Six Cases of Primary Hip Osteoarthritis Misdiagnosed as Femoral Head Necrosis
摘要
Abstract
Objective To explore the causes and preventive measures of primary hip osteoarthritis misdiag-nosed as necrosis of the femoral head,in order to improve diagnosis and treatment. Methods Of 21 patients with pri-mary hip osteoarthritis. clinical data of 6 with misdiagnosed femoral head necrosis were retrospectively analyzed. Re-sults The rate of misdiagnosis in this group was 28.57%. Six patients who presented with hip joint pain with or with-out morning stiffness,were misdiagnosed as having necrosis of the femoral head. Duration of misdiagnosis was 1~4 months. Conservative treatment failed for there was no obvious improvement. CT,MRI and postoperative pathological examination confirmed hip osteoarthritis due to acetabular dysplasia in 2 cases,and primary hip osteoarthritis in 4. All 6 patients were discharged after surgical treatment,and were followed up for 3 months to 1 years,and the prognosis was favorable. Conclusion There are no specific clinical symptoms and signs in terms of primary hip osteoarthritis. There-fore,clinicians should enhance the understanding of clinical manifestations of primary hip osteoarthritis and imaging ex-amination results,to reduce or avoid misdiagnosis and mistreatment.关键词
骨关节炎；髋/误诊/股骨头坏死Key words
Osteoarthritis,hip/Misdiagnosis/Femur head necrosis分类
医药卫生引用本文复制引用
曹安军,杨建惠,牟朋林,刘志奎..原发性髋关节骨关节炎误诊为股骨头坏死六例分析[J].临床误诊误治,2018,31(5):36-38,3.基金项目
2015年广东省医学科研基金项目(A2015604) （A2015604）
