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股骨头坏死的诊断与鉴别诊断
引用本文:张洪,张大光.股骨头坏死的诊断与鉴别诊断[J].中国骨与关节杂志,2012(5):443-448.
作者姓名:张洪  张大光
作者单位:1. 北京,解放军总医院第一附属医院骨一科
2. 长春,吉林大学第一医院骨关节外科
摘    要:股骨头坏死(osteonecrosisofthefemoralhead,ONFH)或者股骨头缺血性坏死avascularnecrosisofthefemoralhead,AVNFH)是一种由于股骨头血供中断或受损,引起骨细胞和骨髓成分死亡及修复,继而导致股骨头结构发生变化,引起股骨头塌陷,髋关节疼痛和功能障碍的疾病。ONFH多发生于青壮年男性,一般发病年龄在30~50岁左右。这种疾病常常由于没有及时发现和治疗而导致疾病进展,出现股骨头塌陷,引发髋关节骨关节炎,丧失关节功能,造成残疾,带给社会和家庭巨大负担。

关 键 词:股骨头坏死  鉴别诊断  股骨头缺血性坏死  髋关节骨关节炎  股骨头塌陷  疾病进展  股骨头血供  髋关节疼痛

Diagnosis and differential diagnosis of osteonecrosis of the femoral head
ZHANG Hong,ZHANG Daguang.Diagnosis and differential diagnosis of osteonecrosis of the femoral head[J].Chinse Journal Of Bone and Joint,2012(5):443-448.
Authors:ZHANG Hong  ZHANG Daguang
Institution:. Department of the Joint and Sports Medicine. The Orthopedic Institute of CPLA, the First Affiliated Hospital of the General Hospital of CPLA, Beijing, 100048, PRC
Abstract:In China, osteonecrosis of the femoral head (ONFH) is a very common disease with fast development, which could lead to catastrophic hip disorder. Early and proper diagnosis can secure the best treatment outcome. Meanwhile, the differential diagnosis which could clarify the differences between ONFH and some other common hip diseases will help physicians to avoid mis-diagnosis and unnecessary treatment. In this article, we described clinical symptoms and radiological characters of ONFH and differential diagnosis with other 8 common hip diseases.
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