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首页> 外文期刊>Khyber Medical University Journal >DOPPLER BASED COMPARISON OF TRANSIENT SYNOVITIS OF THE HIP JOINT AND PERTHES‘ DISEASE
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DOPPLER BASED COMPARISON OF TRANSIENT SYNOVITIS OF THE HIP JOINT AND PERTHES‘ DISEASE

机译：基于多普勒的髋关节短暂滑膜炎和Perthes病的比较

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Objective: To compare the hip joint perfusion (HJP) and hip joint effusion (HJE) of affected and unaffected joints ofpatients with Perthes disease (PD) and transient synovitis (TS) with the help of doppler ultrasound.Methodology: This study was conducted at Children Clinical Hospital No. 1, Ivanovo, Russia from 01.09.2001 to10.01.2006. One hundred and one children diagnosed as TS and PD were examined. Hip joint perfusion and hip jointeffusion were measured on Doppler ultrasonic examinations, carried out with the help of duplex scanning of thevessels of the hip joints. Patient's data was analyzed statistically by SPSS 14.Results: Out of 101 patients 59 (58.4%) children had doppler ultrasound evidence of PD, while 42 (41.6%) had TS ofthe hip joint. In TS, HJE was 2.9 ± 0.20 ml and 2.0 ± 0.02 ml in affected and unaffected joints respectively (p 0.01)while in PD HJE was significantly increased in stage 1, II and III. HJP of medial circumflex arteries, lateral circumflexarteries, lateral ascending cervical artery and intra capsular ring was significantly decreased in affected joints of TSand PD. Increased circumflex venous flow was observed in TS and first 3 stages of PD. Three children with TS subsequentlydeveloped PD.Conclusion: Increased joint effusion is the common factor causing deterioration of perfusion both in children with TSand PD. Increased effusion in perfusion deficit hip joints may lead to development of PD in children with TS. Earlydiagnostic sign of the beginning of PD is subcompensated perfusion deficiency of the femoral head.Keywords: Transient Synovitis, Perthes Disease, Doppler Ultrasound, Hip Joint Perfusion.
机译：目的：在多普勒超声的帮助下，比较Perthes病（PD）和短暂性滑膜炎（TS）患者患病和未患病关节的髋关节灌注（HJP）和髋关节积液（HJE）。俄罗斯伊凡诺沃1号儿童诊所，2001年1月9日至2006年1月1日。检查了101名被诊断为TS和PD的儿童。在多普勒超声检查中对髋关节灌注和髋关节灌注进行测量，超声检查是在髋关节血管的双重扫描的帮助下进行的。通过SPSS 14对患者的数据进行统计分析。结果：在101例患者中，有59名（58.4％）儿童有多普勒超声显示PD，而42名（41.6％）有髋关节TS。在TS中，受影响和未受影响的关节HJE分别为2.9±0.20 ml和2.0±0.02 ml（p <0.01），而在PD中，HJE在第1，II和III期显着增加。 TS和PD受累关节的内侧回旋动脉，外侧回旋动脉，颈上扬支和囊内环的HJP明显降低。在TS和PD的前3个阶段观察到回旋静脉流量增加。三名TS患儿随后发展为PD。结论：关节积液增加是导致TS和PD患儿灌注恶化的常见因素。 TS患儿灌注不足的髋关节积液增多可能导致PD的发展。 PD开始的早期诊断标志是股骨头的灌注不足。关键词：短暂性滑膜炎，Perthes病，多普勒超声，髋关节灌注。

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