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酒精性股骨头坏死的研究进展

[Research progress of alcohol-induced osteonecrosis of femoral head].

作者信息

Gan Di, Zhang Changqing

机构信息

Department of Orthopedics, the Sixth People's Hospital, Shanghai Jiaotong University, Shanghai, 200233, P.R. China.

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2013 Mar;27(3):365-8.

PMID:23672142
Abstract

OBJECTIVE

To review the research progress of alcohol-induced osteonecrosis of the femoral head (ONFH).

METHODS

Recent literature concerning alcohol-induced ONFH was reviewed and summarized.

RESULTS

Alcohol-induced ONFH accounte for approximately 1/3 of total ONFH. Alcohol intake and the incidence of ONFH has a significant dose-effect relationship. There are some correlations between alcohol-induced ONFH and lipid metabolism, secretion of corticosteroid, and some gene of alcohol or lipid metabolism.

CONCLUSION

The relationships between alcohol and lipid metabolism, and between alcohol and steroid are still the main direction of the research of ONFH. Gene level researches can not demonstrate the pathogenesis, therefore further research should be carried on.

摘要

目的

综述酒精性股骨头坏死(ONFH)的研究进展。

方法

回顾并总结近期关于酒精性ONFH的文献。

结果

酒精性ONFH约占ONFH总数的1/3。酒精摄入量与ONFH发病率存在显著的剂量效应关系。酒精性ONFH与脂质代谢、皮质类固醇分泌以及一些酒精或脂质代谢基因之间存在一定关联。

结论

酒精与脂质代谢以及酒精与类固醇之间的关系仍是ONFH研究的主要方向。基因水平的研究尚不能阐明发病机制,因此应进一步开展研究。

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引用本文的文献

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Collagen type V a2 (COL5A2) is decreased in steroid-induced necrosis of the femoral head.Ⅴ型胶原α2(COL5A2)在激素性股骨头坏死中表达降低。
Am J Transl Res. 2018 Aug 15;10(8):2469-2479. eCollection 2018.
2
The protective effect of PFTα on alcohol-induced osteonecrosis of the femoral head.PFTα对酒精性股骨头坏死的保护作用。
Oncotarget. 2017 Jul 11;8(59):100691-100707. doi: 10.18632/oncotarget.19160. eCollection 2017 Nov 21.
3
Novel Akt activator SC-79 is a potential treatment for alcohol-induced osteonecrosis of the femoral head.
新型Akt激活剂SC-79是酒精性股骨头坏死的一种潜在治疗方法。
Oncotarget. 2017 May 9;8(19):31065-31078. doi: 10.18632/oncotarget.16075.
4
Sartorius muscle-pedicle bone graft for osteonecrosis of the femoral head.缝匠肌蒂骨移植治疗股骨头坏死
Int Orthop. 2016 Jul;40(7):1417-25. doi: 10.1007/s00264-015-2921-5. Epub 2015 Jul 15.