患者股骨头缺血性坏死的病因：一项横断面研究。
Etiology of Femoral Head Avascular Necrosis in Patients: A Cross-Sectional Study.
作者信息
Teimouri Mehdi, Motififard Mehdi, Hatami Saeed
机构信息
Department of Orthopedic Surgery, School of Medicine, Kashani University Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Orthopedic Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
出版信息
Adv Biomed Res. 2022 Dec 26;11:115. doi: 10.4103/abr.abr_235_21. eCollection 2022.
BACKGROUND
Avascular necrosis (AVN), known as osteonecrosis, aseptic necrosis, or ischemic bone necrosis, results in the destruction of bone cells. In the present study, we aimed to report the most common causes of AVN in in patients referred to Isfahan educational and medical centers.
MATERIALS AND METHODS
This study is a cross-sectional study that was performed on all patients with AVN in medical educational centers in Isfahan during 2019 and 2020. We included all patients diagnosed with AVN. Patients' information including age, sex, cause of femoral head necrosis, medical history, and drug usage were collected. Finally, reliable data from 99 patients were recorded.
RESULTS
We collected data of 99 patients in this study. The most prevalent cause of ANV was corticosteroids use (32.3%), and it was more prevalent among women (51.4%); the second prevalent cause of AVN in our study sample was trauma (28.28%), and it was more prevalent among men (32.8%).
CONCLUSION
The most common cause of AVN was corticosteroids, which was consistent with previous studies. Other main causes of AVN were traumatic or idiopathic issues.
背景
缺血性坏死（AVN），也称为骨坏死、无菌性坏死或缺血性骨坏死，会导致骨细胞破坏。在本研究中，我们旨在报告转诊至伊斯法罕教育和医疗中心的患者中AVN最常见的病因。
材料与方法
本研究为横断面研究，于2019年至2020年对伊斯法罕医学教育中心所有AVN患者进行。我们纳入了所有诊断为AVN的患者。收集患者的信息，包括年龄、性别、股骨头坏死原因、病史和药物使用情况。最后，记录了99例患者的可靠数据。
结果
本研究收集了99例患者的数据。ANV最常见的病因是使用皮质类固醇（32.3%），在女性中更为普遍（51.4%）；在我们的研究样本中，AVN的第二常见病因是创伤（28.28%），在男性中更为普遍（32.8%）。
结论
AVN最常见的病因是皮质类固醇，这与先前的研究一致。AVN的其他主要病因是创伤性或特发性问题。
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