Van　Neck病

Van Neck Disease

掌握ＶａｎＮｅｃｋ病的诊断与治疗，提出该病的新分类方法，即有症状型及无症状型两大类。１９８７～１９９５年３月共收治ＶａｎＮｅｃｋ病１０例，平均发病年龄９．２岁，发病前均有剧烈运动史，发病时有髓部疼痛，Ｘ线骨盆片可见坐骨耻骨结合处骨皮质膨隆，中央区透光，骨质破坏影像。对４～１４岁健康儿童４９１例进行了Ｘ线骨盆正位摄片检查，出现上述骨质改变者为１８．３％，临床上无任何症状。本组７例采用制动、理疗等治疗，３～４周症状消失，３～６个月骨质恢复正常，３例症状严重者采用局部注射激素疗法治愈。随访８例，最长２年，最短６个月，无一例复发。结论：凡Ｘ线骨盆片有骨质改变者均应视为ＶａｎＮｅｃｋ病，根据临床表现可分为有症状型及无症状型两大类。

To discuss the diagnosis and,treatment of Van Neck disease,and the new criteria to classify it into symptomatic and asymptornatic types,10 cases of Van Neck disease aged 9.2 years on average were treated from 1987 to 1995. All of them presented with a history of heavy exercises before the onset and pains in the hip.X-rays examination showed prominence,translucence and bone destruction between ischium and pubis. The same features were found in 18.3%of 491 healthy symptomleass children aged from 4-14 years,7 cases underwent immobilization and physiotherapy,symptoms subeided in 3 to 4 weeks,and Xrays sign returned to normal in 3 to 6 months.Three cases with severe pain were cured by cortisone therapy.Of them, 8 were followed-up for 6 months to 2 years,none recurred.The authors suggest that the positive X-rays sign alone be specific to Van Neck disease which might be divided into two types.