心脏移植后激素相关的股骨头坏死行双髋关节置换术一例
摘要
患者男性,44岁,围扩张性心肌病于2005年8月在外院行心脏移植术。术后应用泼尼松龙及环孢素抗免疫排斥治疗,泼尼松龙在最初3个月为25mg/d,以后每3个月递减5mg/d,服用1年,总用量约2100mg;环孢素自术后一直服用,剂量为6片/d。移植心脏功能较好,已恢复正常生活。
出处
《中华外科杂志》
CAS
CSCD
北大核心
2012年第6期574-575,共2页
Chinese Journal of Surgery
基金
卫生部属(管)医院重点资助项目(2010-2012)
参考文献6
-
1李子荣,孙伟,屈辉,周乙雄,窦宝信,史振才,张念非,程晓光,王大力,郭万首.皮质类固醇与骨坏死关系的临床研究[J].中华外科杂志,2005,43(16):1048-1053. 被引量:76
-
2Foley-Nolan D, Daly C, Barry C, et al. Avascular necrosis of the femoral head post heart-transplantation and steroid dosage. Ir Med J, 1992, 85 : 138-139.
-
3Egan B, O' Byrne JM, O' farrell D, et al. Orthopaedic complications following cardiac transplantation. Ir Med J, 1996, 89:25-27.
-
4Marston SB, Gillinghan K,Bailey RF, et al. Osteonecrosis of the femoral head after solid organ transplantation. J Bone Joint Surg Am,2002,84-A :2145-2151.
-
5Leon JL, Resines C, Zafra A. Total hip arthroplasty in heart transplant patients. Acta Orthop Belg,2007,73:720-728.
-
6潘铁成,朱学海.心脏移植//夏穗生.中华器官移植医学.南京:江苏科学技术出版社,2009:526-550.
二级参考文献16
-
1Weaver C J, Major NM, Garrett WE, et al. Femoral head osteochondral lesions in painful hips of athletes: MR imaging findings. AJR Am J Roentgenol, 2002, 178 : 973-977.
-
2Fujioka M, Kubo T, Nakamura F, et al. Initial changes of nontraumatic osteonecrosis of femoral head in fat suppression images: bone marrow edema was not found before the appearance of band patterns. Magn Roson Imaging, 2001, 19: 985-991.
-
3Nishii T, Sugano N, Ohzono K, et al. Significance of lesion size and location in the prediction of collapse of osteonecrosis of the femoral head : a new three-dimensional quantification using magnetic resonance imaging. J Orthop Res,2002, 20: 130-136.
-
4Koo KH, Kim R. Quantifying the extent of osteonecrosis of the femoral head: a new method using MRI. J Bone Joint Surg Br,1995, 77: 875-880.
-
5Piettogrand V, Mastromarino R. Osteopatda prolungata trattamento cortisonico. Ortop Traum Appar Mar, 1957, 25 : 791-10.
-
6Hirota Y, Hotokebuchi T, Sugioka Y. Epidemiologic Survey on idiopathic osteonecrosis of the femoral head in Japan. In: Urbaniak JR and Jones JP, et al. Osteonecrosis : etiology, diagnisis, and treatment. Rosemout IL : American Academy of Orthopaedic Surgeons, 1997.39-44.
-
7Lieberman JR, Berry DJ, Mont MA, et al. Osteonecrosis of the hip: management in the twenty-first century. J Bone Joint Surg Am,2002, 84:834-853.
-
8Felson DT, Anderson JJ. Across-study evaluation of association between steroid dose and bolus steroids and avascular necrosis of bone. Lancet,1987, (8538) : 902-906.
-
9Jones LC, Hungerford DS. Overview of osteonecrosis of the hip and current treatment options. Curr Opin Orthop, 2003, 14: 12-16.
-
10Mont MA, Hungerford DS. Non-traumatic avascular necrosis of the femoral head. J Bone Joint Surg Am,1995, 77: 459-474.
共引文献75
-
1张崇耀,李峻辉,宁亚功.股骨头坏死发病机制探讨[J].中华临床医师杂志(电子版),2011,5(6):1705-1707. 被引量:16
-
2孙伟,李子荣,屈辉.SARS后头状骨坏死1例[J].中国误诊学杂志,2006,6(2):394-394.
-
3李子荣.应重视类似股骨头坏死髋关节疾病的鉴别诊断[J].中华医学杂志,2006,86(7):433-434. 被引量:11
-
4李子荣.准确诊断、合理治疗股骨头坏死[J].中华全科医师杂志,2006,5(2):69-71. 被引量:8
-
5孙伟.股骨头坏死的病因、病理和发病机制[J].中华全科医师杂志,2006,5(2):75-77. 被引量:54
-
6白雪莉,梁廷波,郑树森.肝脏移植术后骨病的研究[J].中华外科杂志,2006,44(5):314-316.
-
7李子荣.股骨头坏死治疗方法选择的病理学基础[J].中华医学杂志,2007,87(29):2021-2022. 被引量:13
-
8盛辉,张戈,张颖恺,陈俊伟,李广文,王洪复,梁国穗,秦岭.骨髓脂肪细胞在激素性骨坏死发生过程中的时序变化特点[J].中国骨质疏松杂志,2007,13(8):547-550. 被引量:2
-
9李子荣.股骨头坏死的早期诊断治疗及合理治疗[J].中华关节外科杂志(电子版),2008,2(1):1-2. 被引量:27
-
10鲍春德,张春燕.重视系统性红斑狼疮常见并发症的诊治[J].内科理论与实践,2008,3(3):153-157. 被引量:1
-
1汪李俊.全髋关节置换术94例护理体会[J].中国现代医药杂志,2008,10(12):125-125.
-
2张艳芝.全髋关节置换术患者的护理及康复指导[J].包头医学院学报,2002,18(2):140-141.
-
3杨玉群,黎小旭.双髋关节置换术患者的护理[J].华夏医学,2002,15(5):615-616. 被引量:1
-
4朱文清,程赣中,赖光松.双侧同期全髋关节置换术10例[J].赣南医学院学报,2007,27(6):937-937.
-
5丁喜山,傅大成,石爱国,王金娥.人工双髋关节假体同时折断再次手术1例[J].中国骨伤,2003,16(9):518-518.
-
6苏有平,高月娥.硬膜外麻醉后截瘫系椎体肿瘤所致1例[J].中国误诊学杂志,2002,2(1):153-153.
-
7唐荣.甲泼尼龙联合泼尼松治疗原发性肾病综合征的疗效分析[J].基层医学论坛,2016,20(8):1024-1025. 被引量:1
-
8曹仁辉.一期双髋关节置换术治疗双侧髋关节晚期病变[J].中国民族民间医药,2011,20(6):37-38.
-
9任吉忠,闵志廉,朱有华,何长民.慢性排斥治疗的经验与体会[J].中华器官移植杂志,1998,19(1):22-24. 被引量:8
-
10李日荣,吴劲风,李锋生.同期双髋关节置换对疑难髋部疾病的应用探讨[J].求医问药(下半月刊),2012,10(6):323-324.