Vinceneux P, Stevens-Dudragne D, Peckels B, Kaplan G
Sem Hop. 1979;55(37-38):1701-4.
Three cases of transient osteoporosis of the hip in pregnant women are reported, and compared with 13 similar observations, published in world literature. The disease occurs during second half of pregnancy, revealed byrnotion hip pain, and slight limitation of mobility. On radiography, the femoral head and acetabulum are radiolucent and heterogenous. These modifications may be impressive but careful analysis of X rays rules out coxitis or malignant osteolysis. Major functional disturbance is common but the course of pregnancy and delivery is not impaired. Healing, without sequelae, occurs in a few months. Before delivery, attention should be paid to the fetal risk when prescribing X rays examinations or drug treatment. Pathogeny is unclear; the role of nerve or vein compression by the pregnant womb is discussed.
本文报告了3例孕妇髋部短暂性骨质疏松症病例，并与世界文献中发表的13例类似观察结果进行了比较。该病发生在妊娠后半期，表现为髋部运动时疼痛和轻微活动受限。X线片显示股骨头和髋臼呈透射性且不均匀。这些改变可能很明显，但仔细分析X线可排除髋关节炎或恶性骨质溶解。严重功能障碍很常见，但妊娠和分娩过程不受影响。数月内可痊愈且无后遗症。分娩前，在进行X线检查或药物治疗时应注意胎儿风险。病因尚不清楚，文中讨论了妊娠子宫压迫神经或静脉的作用。
