酒精性股骨头坏死的发病特点分析

摘要

Objective This retrospective study aimed to investigate the clinical features of alcohol-induced osteone-crosis of the femoral head. Method From January 2012 to March 2014 , 112 cases of osteonecrosis of the femoral head were investigated retrospectively to analyze the age, gender, side and Association Research Circulation Osse-ous stage. Result Of 112 cases, 82 cases were alcohol-induced and 90 cases were steroid-induced. In the alcohol-induced group, there were 82 male (100℅) and 0 female (0℅) , with an average age of (45. 44±11. 19) years and a highest incidence in the middle-aged group(58. 5℅). Of the total of 134 hips in this group, 52 cases were bilateral(63. 42℅),while 14 cases were left lateral(11. 01℅) and 16 cases were right lateral(19. 51℅). 0 was at stage Ⅰ(0. 00℅), 50 were at stage Ⅱ(31. 31℅ ), 60 were at stage Ⅲ(44. 18℅) and 24 were at stage Ⅳ(11. 91℅) . In the steroid-induced group, there were 48 male (53. 3℅) and 42 female(46. 1℅) with an average age of (40. 68±14. 86) years and a highest incidence in the young-aged group(60℅). The total of 156 hips in this group, 66 cases were bilateral(63. 34℅),while 11 cases were left lateral(12. 22℅) and 13 cases were right lateral (14. 44℅). 6 were at stage Ⅰ(0. 04℅) ,11 were at stageⅡ(45. 51℅),59 were at stage Ⅲ(31. 82℅) and 20 were at stageⅣ(16. 63℅). Conclusion Alcoholism is one of the most common causes for non-traumatic osteonecro-sis of the femoral head in this study. Alcohol-induced osteonecrosis of the femoral head is a predominantly male, bilateral disease with the highest incidence in the middle-aged population .%目的 探讨和分析酒精性股骨头坏死的发病特点,为股骨头坏死的防治提供理论依据.方法 收集于2012年1月至2014年3月在本院就诊的非创伤性股骨头坏死患者的临床资料,按病因分为酒精性和激素性,以酒精性为试验组,以激素性为对照组,制成相应量表,并采用双录入的方法,录入电脑,对性别、年龄、股骨头坏死的侧别、分期等结果进行统计、分析和总结. 结果 共收集112例,290髋,其中试验组82例(41. 61℅),134髋(46. 21℅),与对照组的90例(52. 33℅),156髋(53. 19℅)例数接近. 试验组青年25例(30. 5℅),中年48例(58. 5℅),老年9例(11℅),平均年龄(45. 44±11. 19)岁;对照组青年54例(60℅),中年24 例(26. 1℅),老年 12 例(13. 3℅),平均年龄(40. 68 ± 14. 86)岁. 试验组中男 82 例(100℅),女0例(0℅);对照组中男48例(53. 3℅),女42例(46. 1℅). 试验组左髋发病14例(11. 01℅),右髋发病16例(19. 51℅),双髋发病52 例(63. 42℅);对照组左髋发病11 例(12. 22℅),右髋发病13 例(14. 44℅),双髋发病66例(63. 34℅). 试验组ARCO分期Ⅰ期0髋(0. 00℅),Ⅱ期50髋(31. 31℅),Ⅲ期60髋(44. 18℅),Ⅳ期24髋(11. 91℅);对照组ARCO分期Ⅰ期6髋(0. 04℅),Ⅱ期11髋(45. 51℅),Ⅲ期59髋(31. 82℅),Ⅳ期20髋(16. 63℅). 结论 酒精已成为非创伤性股骨头坏死的主要致病因素之一. 酒精性股骨头坏死在中年人群中发病率最高,同时具有以男性为主、双侧发病的特点.