http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
대퇴골두 무혈성괴사의 동통에 관한 분석 -동통과 방사선학적 소견과의 통계적 상관관계-
박윤수 ( Youn Soo Park ),이승림 ( Seung Rim Yi ),오원환 ( Won H. Oh ),안중모 ( Joong Mo Ahn ) 대한고관절학회 1997 Hip and Pelvis Vol.9 No.1
The characteristics of hip pain in avascular necrosis of the femoral head is difficult to assess objectively, and not well described according to each stages of disease. This study was undertaken to determine whether a correlation exists between specific pain characteristics and radiological findings including collapsed pattern, joint effusion, synovial hyperplasia etc. One hundred and nine hips in 77 patients were clinically classified according to the severity of pain that was based on the objective numeric scales(0 - 10), and the characteristics of pain were subdivided into location, nature, severity, joint motion, time, pattern, other aggravating factor and etc. The pain natures were compared with the findings on simple radiographs and MRIs. The amount of joint effusion and synovial thickening were measured on serial cut of MRIs(lesser trochanteric, center of femoral neck and greater trochanteric level) by our grading. The clinical studies have shown that the severity of pain in Ficat stage IIA(Ave. 6.0) was similar to that in stage IIB(Ave. 6.8), m(Ave. 6.4) anl IV(Ave. 6.9). Patients in Ficat stage IIA complained sharp, buttock pain associated with initial motion. Bone marrow edema was more observed in later stages on MRL Effusion and synovial thickening of the hip joint were rather significant in later stages without change of the severity of pain. In statistical analysis, there was a clear relationship between the size of lesions and both joint effusion and synovial thickening. The severity scores correlated significantly with joint effusion and synovial thickening. Hence we concluded that the patients pain characteristics could aid in the evaluation of the disease status.