坐骨耻骨骨软骨病(VanNeck病)

Van Neck Disease

目的:介绍和探讨坐骨耻骨骨软骨病(Van Neck病)的诊断和治疗.方法:回顾13例Van Neck病患儿的临床经过和观察100例4岁～11岁儿童因其它原因所摄骨盆正位片.结果:13例患儿均有坐耻骨结合处隆起和疼痛,X线检查显示坐耻骨结合处有局限性骨皮质膨隆,中央区透光,骨密度不均,无骨膜、软组织异常改变,其中2例在症状出现前5周～6周的X线片上已存在上述改变,经保守治疗全部治愈.100例其它原因所摄骨盆片中有此改变15例.结论:凡有上述X线改变的无论有无症状都应视为Van Neck病,本病预后良好,无须长期用药和手术.

ve: To discuss the diagnosis and treatment of Van Neck disease. Methods: The clinical course of 13 cases were reviewed and X-ray films of children aged from 4 to 11 years old, which were taken for other reasons were analyzed. Results: All cases presented with bulge and pain at junctionof ischium and pubis. X-ray films showed local prominence, translucence and density inhomogeneity between ischium and pubis, but no change of periosteums and soft tissues. Two of them had above-mentioned changes on their X-ray films for 5 or 6 weeks before there were clinical symptoms. All cases recovered by non-operative treatment. However, the same feathers were also found in 15 of 100 X-ray films taken for other causes. Conclusion: All cases with above-mentioned feathers on their X-ray films, whether with or without clinical symptoms, should be regarded as Van Neck disease. The disease with good prognosis might not need use medicine for a long time or operation.