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掌握VanNeck病的诊断与治疗,提出该病的新分类方法,即有症状型及无症状型两大类。1987~1995年3月共收治VanNeck病10例,平均发病年龄9.2岁,发病前均有剧烈运动史,发病时有髓部疼痛,X线骨盆片可见坐骨耻骨结合处骨皮质膨隆,中央区透光,骨质破坏影像。对4~14岁健康儿童491例进行了X线骨盆正位摄片检查,出现上述骨质改变者为18.3%,临床上无任何症状。本组7例采用制动、理疗等治疗,3~4周症状消失,3~6个月骨质恢复正常,3例症状严重者采用局部注射激素疗法治愈。随访8例,最长2年,最短6个月,无一例复发。结论:凡X线骨盆片有骨质改变者均应视为VanNeck病,根据临床表现可分为有症状型及无症状型两大类。
Grasp the diagnosis and treatment of VanNeck disease, put forward a new classification of the disease, that is, two types of symptomatic and asymptomatic. From March 1987 to March 1995, 10 cases of VanNeck disease were treated with an average age of 9.2 years. Before the onset of the disease, they all had vigorous exercise. When they had onset, they had pain in the medullary area. X-ray pelvis showed cortical bulging of the sciatic pubis junction, District light, bone destruction images. X-ray pelvic radiography was performed on 491 healthy children from 4 to 14 years old. There were 18.3% of the above-mentioned bone changes without clinical symptoms. The group of 7 patients treated with brakes, physiotherapy and other symptoms, 3 to 4 weeks the symptoms disappeared, 3 to 6 months bone returned to normal, 3 cases of severe symptoms were treated with local injection of hormone therapy. Follow-up in 8 cases, up to 2 years, the shortest 6 months, no case of recurrence. Conclusion: All X-ray pelvic bone changes should be considered VanNeck disease, according to clinical manifestations can be divided into two types of symptomatic and asymptomatic.