神经源性异位骨化。文献综述。第二部分

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论证。神经源性异位骨化是由于各种病因造成的严重脑损伤或脊髓损伤导致的身体软组织骨形成。在神经源性异位骨化中,髋关节最常受到影响。

本研究旨在分析有关髋关节神经源性异位骨化的器械诊断、手术和非手术治疗方法及预防的出版物。

材料和方法。综述的第二部分重点介绍神经源性异位骨化髋关节的现代诊断、手术和保守治疗、预防和复发。数据搜索是在科学文献数据库PubMed、Google Scholar、Cochrane Library、Crossref、eLibrary中进行,无语言限制。

结果。目前的诊断方法可以对髋关节神经源性异位骨化的高危患者进行筛查,随后通过计算机断层扫描或磁共振成像进行确诊。尽管目前对切除髋关节神经源性异位骨化的时机尚未达成共识,但手术治疗是切除或减少其体积的最有效方法。在大多数情况下,疼痛综合征得到控制,患者的生活质量得到改善。由于病因因素(中枢神经系统损伤)的共性,对于脊髓损伤、颅脑外伤和小儿脑瘫导致的髋关节神经源性异位骨化患者,非手术方法的预防和治疗效果也不同。

结论。考虑到中枢神经系统病变的原因,随机对照试验将确定保守治疗方法在预防神经源性异位髋关节骨化形成和复发方面的有效性。

作者简介

Vladimir A. Novikov

H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery

Email: novikov.turner@gmail.com
ORCID iD: 0000-0002-3754-4090
SPIN 代码: 2773-1027

MD, PhD, Cand. Sci. (Med.)

俄罗斯联邦, Saint Petersburg

Alina M. Khodorovskaya

H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery

编辑信件的主要联系方式.
Email: alinamyh@gmail.com
ORCID iD: 0000-0002-2772-6747
SPIN 代码: 3348-8038

MD, Research Associate

俄罗斯联邦, Saint Petersburg

Valery V. Umnov

H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery

Email: umnovvv@gmail.com
ORCID iD: 0000-0002-5721-8575
SPIN 代码: 6824-5853

MD, PhD, Dr. Sci. (Med.)

俄罗斯联邦, Saint Petersburg

Evgenii V. Melchenko

H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery

Email: emelchenko@gmail.com
ORCID iD: 0000-0003-1139-5573
SPIN 代码: 1552-8550

MD, PhD, Cand. Sci. (Med.)

俄罗斯联邦, Saint Petersburg

Dmitry V. Umnov

H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery

Email: dmitry.umnov@gmail.com
ORCID iD: 0000-0003-4293-1607
SPIN 代码: 1376-7998

MD, PhD, Cand. Sci. (Med.)

俄罗斯联邦, Saint Petersburg

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