369例股骨头缺血性坏死发病情况统计分析

对369例股骨头缺血性坏死病例的发病情况进行了统计分析。结果表明创伤是引起股骨头坏死的首要原因,占57.18％;其次是Perthes病,占27.64％。在性别上,前者无明显差异,后者男性明显高于女性。在年龄上,儿童及青壮年发病率较高,老年次之。认为在股骨颈骨折、髋关节脱位及Perthes病的洽疗中,如何预防股骨头缺血性坏死,仍是一个亟待研究解决的问题。对于皮质激素性、病理性及原因不明的患者,虽发病率较低,也应给予足够的重视。

Statistical analysis of the onset of 369 cases of ischemic necrosis of femoral head

Statistical analysis of the pathogenic conditions of 369 cases of ischemic necrosis of femoral head showed that injury is the first reason for femoral head necrosis (57.18%) and the second one is Perthes' disease (27.64%). In sex, the male incidence of traumatic femoral haed necrosis had no significant difference from the female one; while the male incidence of femoral head necrosis caused by Perthes' disease was significantly higher than the female. In age, children and adults of 30-50 years had a higher incidence than the elders. It was considered that in treating femoral neck fracture, hip dislocation and Perthes' disease, the prevention of ischemic necrosis of femoral head remains a problem demanding prompt investigation and solution. Adequade attention should still be paid to cortical-hormone, pathoiogical and idiopathic patients although they have a lower incidence.