| DIAGNOSIS AND TREATMENT OF IDIOPATHIC NECROSIS OF THE FEMORAL HEAD |
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| 引用本文： | 李毅中,乐铜. DIAGNOSIS AND TREATMENT OF IDIOPATHIC NECROSIS OF THE FEMORAL HEAD[J]. 中国医学科学杂志(英文版), 1990, 0(2) |
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| 作者姓名： | 李毅中 乐铜 |
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| 作者单位： | PUMC Hospital CAMS，Beijing，PUMC Hospital，CAMS，Beijing |
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| 摘 要： | Fifteen cases,27 hips,of idiopathic necrosis of the femoral head (INFH) were included iour series.The role of radiography,isotopic bone scanning,intraosseous pressure measure-ment and intraosseous venography in the diagnosis of INFH were evaluated.Radiologicalexamination could not reveal early cases,while isotopic bone scanning was more sensitive.There was an increase of intraosseous pressure in most of the diseased hips.and intraos-seous venography showed abnormalities in all examined hips.The latter two tests couldtherefore detect early INFH.Core decompression was performed in 23 hips,21 of whichwere followed for 7 to 27 months.Functional evaluation was good or excellent in 18 hips.Radiological re-examination remained unchanged in 19 hips.Postoperative intraosseouspressure measurement and intraosseous venography revealed a decrease of intraosseous pres-sure and improvement of venous drainage.Core decompression is therefore an ideal methodof treatment for early INFH.
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DIAGNOSIS AND TREATMENT OF IDIOPATHIC NECROSIS OF THE FEMORAL HEAD |
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| Li Yizhong Yue Tong PUMC Hospital,CAMS,Beijing. DIAGNOSIS AND TREATMENT OF IDIOPATHIC NECROSIS OF THE FEMORAL HEAD[J]. Chinese medical sciences journal, 1990, 0(2) |
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| Authors: | Li Yizhong Yue Tong PUMC Hospital CAMS Beijing |
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| Abstract: | Fifteen cases,27 hips,of idiopathic necrosis of the femoral head (INFH) were included i our series.The role of radiography,isotopic bone scanning,intraosseous pressure measure- ment and intraosseous venography in the diagnosis of INFH were evaluated.Radiological examination could not reveal early cases,while isotopic bone scanning was more sensitive. There was an increase of intraosseous pressure in most of the diseased hips.and intraos- seous venography showed abnormalities in all examined hips.The latter two tests could therefore detect early INFH.Core decompression was performed in 23 hips,21 of which were followed for 7 to 27 months.Functional evaluation was good or excellent in 18 hips. Radiological re-examination remained unchanged in 19 hips.Postoperative intraosseous pressure measurement and intraosseous venography revealed a decrease of intraosseous pres- sure and improvement of venous drainage.Core decompression is therefore an ideal method of treatment for early INFH. |
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| Keywords: | idiopathic necrosis femoral head intraosseous pressure intraosseous venography isotopic bone scanning core decompression |
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