Löcsey L, Gyarmati J
Acta Med Hung. 1986;43(4):413-22.
The joint disorders associated with osteodystrophy of 124 regularly haemodialysed patients are reviewed. The most common signs and symptoms of uraemic osteoarthropathy are summed up. It is pointed out that in osteoarthropathy accompanying chronic renal failure or haemodialysis the bones are generally affected first, arthropathy being secondary to this process. In addition to the classic signs and symptoms of arthropathy (calcification, pain, stiffness) capsulitis, carpal tunnel syndrome and in 3 cases avascular necrosis were observed. The laboratory findings included hypocalcaemia, hyperphosphataemia and hypersecretion of parathormone. The current preventive and therapeutic measures are reviewed and in this context the benefits of combined local lidocaine, and steroid iontophoresis are emphasized in the light of personal observations.
对124例定期血液透析患者的骨营养不良相关关节疾病进行了综述。总结了尿毒症性骨关节炎最常见的体征和症状。指出在伴有慢性肾衰竭或血液透析的骨关节炎中，骨骼通常首先受到影响，关节病是这一过程的继发表现。除了关节病的典型体征和症状（钙化、疼痛、僵硬）外，还观察到了囊炎、腕管综合征，3例出现了缺血性坏死。实验室检查结果包括低钙血症、高磷血症和甲状旁腺激素分泌过多。对当前的预防和治疗措施进行了综述，并结合个人观察结果强调了局部利多卡因和类固醇离子导入联合应用的益处。
