Fukunishi Shigeo, Fukui Tomokazu, Nishio Shoji, Fujihara Yuki, Okahisa Shohei, Yoshiya Shinichi
Department of Orthopaedic Surgery, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya City, Hyogo, Japan.
Hip Int. 2011 Jul-Aug;21(4):457-62. doi: 10.5301/HIP.2011.8559.
Various types of hip lesion associated with long-term haemodialysis have been observed. We present a new radiological classification system of haemodialysis-related hip arthropathy. In total, 103 hip lesions were analyzed in 84 patients undergoing haemodialysis for more than ten years. The hip lesions were classified into 3 types; Type I--cystic type with further subdivisions based on cyst location, Type II--arthritic type, and Type III--deformity of the femoral head. Surgery was performed on 60 hips. We believe our classification system assists decision making on behalf of these patients.
已观察到与长期血液透析相关的各种类型的髋部病变。我们提出了一种血液透析相关髋关节炎的新放射学分类系统。对84例接受血液透析超过十年的患者共103处髋部病变进行了分析。髋部病变分为3种类型:I型——囊肿型,根据囊肿位置进一步细分;II型——关节炎型;III型——股骨头畸形。对60处髋关节进行了手术。我们认为我们的分类系统有助于为这些患者做出决策。