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[婴儿早期盆腔肿瘤放疗后髋关节骨骺溶解。附5例新病例]

[Epiphysiolysis of the hip following radiotherapy of pelvic tumors in early infancy. Apropos of 5 new cases].

作者信息

Berard J, Brunat-Mentigny M, Cocchi P, Naouri A

出版信息

Chir Pediatr. 1985;26(3):163-6.

PMID:4064232
Abstract

Five personal cases of slipped capital femoral epiphysis in children submitted to pelvic radiotherapy and nineteen similar observations are reported. This complication appears around 6 years after radiotherapy; its frequency increases with high radiations doses and associated chemotherapy. Weakening of the epiphyseal plate is probably involved whatever radiations voltages. Surgical treatments should be confined to epiphysis fixation. As this complication can secondarily affect the other hip, preventive controlateral fixation must be discussed.

摘要

报告了5例接受盆腔放疗的儿童股骨头骨骺滑脱个人病例以及19例类似观察结果。这种并发症出现在放疗后约6年;其发生率随高辐射剂量和联合化疗而增加。无论辐射电压如何,骨骺板的减弱可能都与之有关。手术治疗应限于骨骺固定。由于这种并发症可能继发影响另一侧髋关节,因此必须讨论预防性对侧固定。

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