髋关节一过性骨质疏松症的诊断与治疗

Diagnosis and treatment of transient osteoporosis of the hip

目的:探讨髋关节一过性骨质疏松症的诊断与治疗效果。方法:2005年1月至2010年2月采用保守方法治疗髋关节一过性骨质疏松症5例,均为男性;年龄27～46岁,平均38.6岁。对其临床表现、体格检查及影像学改变进行分析总结,采用Harris髋关节评分对治疗效果进行评价。结果:所有患者获随访,时间12～36个月,平均24个月。治疗前Harris髋关节评分分别为63.1、86.0、74.9、63.6、64.8分,治疗6个月后分别为90.5、94.5、89.7、93.9、87.8分。治疗6个月后,X线片及MRI影像均基本恢复正常。结论:髋关节一过性骨质疏松症有典型的临床及影像学表现,保守和对症处理对髋关节一过性骨质疏松症有效。

Objective：To study diagnosis and therapeutic efficacy of transient oeteoporods of the hip（TOH）.Methods：From January 2005 to February 2010,5 patients with TOH were treated with traditional methods.All the patients were male,with an average age of 38.6 years（ranged,27 to 46 years）.The clinical manifestation,physical examination and imageology characteristic was investigated.The therapeutic efficacy was evaluated by Harris hip score.Results：All the patients were followed up,the duration ranged from 12 to 36 months（averaged,24 months）.The Harris hip score before treatment were 63.1,86.0,74.9,63.6 and 64.8 respectively,while after 6 months treatment,the scores improved to 90.5,94.5,89.7,93.9 and 87.8 respectively.Moreover,6 months later,the abnormal signal disappeared in MR imaging and X-ray.Conclusion：Transient osteoporosis of the hip is a self-resolving condition and a self-limited disease,the expectant treatment is useful for it.