四种骨病红细胞沉降率检测分析

ESR examination and analysis in four osteopathies

对确诊的骨结核、化脓性骨关节炎、骨肿瘤和骨髓炎等四种骨疾病,共339例患者,不同时期红细胞沉降率(ESR)的动态变化,进行了观察分析。资科显示:四种骨病ESR沉降率均明显增快(Ⅱ级以上),其中以骨结核最为显著;化脓性骨关节炎、骨髓炎在急性期增快(Ⅲ级以上),恢复期和静止期基本正常;骨肿瘤恶性与良性ESR结果有显著差异;有效治疗和无效治疗ESR动态变化比较明显。表明ESR的检测,不但有助于器质性疾病与功能性疾病的鉴别诊断,而且有助于推断病情和预后,尤其是对结核性骨病有较大参考价值。

ESR dynamic changes in 339 patients diagnosed as bone tuberculosis, pyo- genic osteoarthritis, bone tumor and osteomyelitits were observed and analysed. The observed data showed that ESR are significantly speeded up (above Grade Ⅱ) in the four osteopathies, most prominently in bone tuberculosis; ESR in pyogenic osteoarthritis or osteomyelitis are Speeded up (above Grade Ⅳ) at acute stage, but beocome basically normal at restoration and resting stages; ESR in malignant bone tumor is significantly different from that in benign one; ESR dynamic changes in the fou rosteopathies effectively treated are more remarkable compared with those in ineffectively-treated ones. All of these indicate that ESR examination is of great importance not only in differentially diagnosing organic and functional diseases, but also in correctly judging patient's condition and prognosis, especially in judging the activity of tuberculous osteopathies.