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青少年髋关节血流与关节内压力变化的关系。犬类实验研究。

Blood flow in the juvenile hip in relation to changes of the intraarticular pressure. An experimental investigation in dogs.

作者信息

Lucht U, Bünger C, Krebs B, Hjermind J, Bülow J

出版信息

Acta Orthop Scand. 1983 Apr;54(2):182-7. doi: 10.3109/17453678308996553.

DOI:10.3109/17453678308996553
PMID:6845992
Abstract

The blood flow in the hip joint of puppies was studied by means of the microsphere technique. The flow was determined before, during and after intraarticular pressure increase. A venous tamponade of 50 mmHg resulted in a significantly reduced flow in the femoral head and after an arterial tamponade of 150 mmHg the flow almost ceased. The proximal femoral metaphysis, the acetabulum and the hip joint capsule, on the contrary, showed varying degrees of flow increase. It is suggested that the significantly increased blood flow in the hip joint capsule during the intraarticular pressure increase of 50 mmHg and 150 mmHg is caused by an autoregulatory mechanism tending to restore the blood flow in the suffering femoral head. The demonstrated disturbance of the circulation in the juvenile femoral head after venous tamponade supports the theory that synovitis may be the basic mechanism in the production of Calvé-Legg-Perthes' disease.

摘要

采用微球技术研究幼犬髋关节的血流情况。分别在关节内压力升高前、升高期间和升高后测定血流。50 mmHg的静脉压迫导致股骨头血流显著减少,而150 mmHg的动脉压迫后血流几乎停止。相反,股骨近端干骺端、髋臼和髋关节囊的血流呈现不同程度的增加。研究表明,在关节内压力升高至50 mmHg和150 mmHg期间,髋关节囊内血流显著增加是由一种自动调节机制引起的,该机制倾向于恢复患侧股骨头的血流。静脉压迫后幼年股骨头循环出现的明显紊乱支持了滑膜炎可能是卡勒韦-莱格-佩尔茨病发病基本机制的理论。

相似文献

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Blood flow in the juvenile hip in relation to changes of the intraarticular pressure. An experimental investigation in dogs.青少年髋关节血流与关节内压力变化的关系。犬类实验研究。
Acta Orthop Scand. 1983 Apr;54(2):182-7. doi: 10.3109/17453678308996553.
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引用本文的文献

1
Effects of hip joint position and intra-capsular volume on hip joint intra-capsular pressure: a human cadaveric model.髋关节位置和关节囊内容积对髋关节囊内压力的影响:人体尸体模型
J Orthop Surg Res. 2009 Apr 2;4:8. doi: 10.1186/1749-799X-4-8.
2
Hemodynamics of the juvenile dog knee in relation to increased venous outlet resistance.幼犬膝关节血流动力学与静脉流出阻力增加的关系。
Pflugers Arch. 1983 Oct;399(2):129-33. doi: 10.1007/BF00663908.
3
Experimental osteoarthritis in the rabbit. II. A new method to estimate the oxygen consumption and diffusion capacity in the synovial membrane of the knee.
兔实验性骨关节炎。II. 一种估算膝关节滑膜氧耗量及扩散能力的新方法。
Acta Vet Scand. 1985;26(3):326-39. doi: 10.1186/BF03546533.
4
Measurement of absolute bone blood flow by positron emission tomography.通过正电子发射断层扫描测量绝对骨血流量。
Skeletal Radiol. 1986;15(3):198-200. doi: 10.1007/BF00354060.
5
Pressure-volume ratio in human cadaver hip joints.
Arch Orthop Trauma Surg (1978). 1988;107(5):322-5. doi: 10.1007/BF00451514.
6
Improved method to estimate oxygen consumption, diffusing capacity and blood flow of synovial membrane.估算滑膜耗氧量、弥散能力和血流量的改进方法。
Acta Vet Scand. 1989;30(2):113-9. doi: 10.1186/BF03548046.