摘要
目的 探讨严重急性呼吸综合征 (SARS)患者早期股骨头缺血性坏死情况及年龄、激素用量对早期股骨头缺血性坏死有无影响。方法 对所有恢复期医护人员患者做骨盆正位X线摄片、髋关节核磁共振成像 (MRI)检查、放射性核素骨扫描 (99mTc MDP)骨三相检查 ,部分做骨密度检查 ,比较不同年龄及不同激素用量患者股骨头缺血性坏死在MRI及骨扫描检查中有无差异。结果 4 5例患者中 2 0例 (4 4 .4 % )发现有不同程度股骨头缺血性坏死 ,患病率有随年龄增加而升高的趋势 ,但无统计学意义。不同激素用量患者间MRI及骨扫描检查阳性率的差异有显著性(P <0 .0 0 0 1)。结论 应注意皮质激素对SARS患者引起股骨头缺血性坏死的早期诊断及治疗。
Objective To study the early avascular necrosis (AVN) of femoral head in medical staff patients with severe acute respiratory syndrome (SARS). Methods Conventional radiography, magnetic resonance imaging (MRI) and the three-phase radioactive nuclide bone scan (99mTc-MDP) were performed on all restoration period SARS patients. Bone mineral density (BMD) was measured in some patients. Results Different level AVN was found in 20 cases ( 44.4% ). Conclusions The earlier diagnosis and treatment of AVN in SARS patients who had taken glucocorticoid should be performed.
出处
《疾病控制杂志》
2004年第4期329-331,共3页
Chinese Journal of Disease Control and Prevention
