小儿废用性骨质疏松与骨折

Immobilization Osteoporosis and Fracture in Children

为提高对废用性骨质疏松与骨折的警惕性，探讨其防治措施，对１３例儿童因髋关节疾病经手术，石膏固定术后１￣９个月，发生废用性骨质疏松和骨折进行了回顾性分析。结果：１３例患儿１５个部位发生了废用性骨折，经非手术疗法，配合药物治疗，获骨性愈合。早期确定废用性骨质疏松的诊断，缩短了不必要的肢体固定时间，尽早功能锻炼，加强保护，避免外伤，配合内科药物疗法对防治本病有重要作用。

This study was intended to enhance the diagnostic vigilance of immo bilization osteoporosis with fracture and explore its prevention and treatment. Thirteen children with the hip disease underwent one to nine months of plaster c ast after operation.A retrospective analysis was made on these 13 patients with fracture and immobilization osteoporosis. The result showed that disuse fracture occurred in fifteen places of their femora.All of these cases were cured by non operative and drug treatment.These data suggest that for the cases of immobilization osteoporosis it is important to prevent fracture by means of early diagnosis, proper drugs, early function exercise, appropriately shorter period of fixation and the avoidance of trauma.