| 外侧型弹响髋临床诊治的研究进展 |
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Received:November 20, 2017
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| 作者 | Author | 单位 | Unit | E-Mail |
| 丁权威 |
DING Quan-wei |
浙江中医药大学, 浙江 杭州 310053 |
Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang, China |
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| 张杰 |
ZHANG Jie |
浙江中医药大学, 浙江 杭州 310053 |
Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang, China |
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| 吴泽庭 |
WU Ze-ting |
浙江中医药大学, 浙江 杭州 310053 |
Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang, China |
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| 范梦强 |
FAN Meng-qiang |
浙江中医药大学, 浙江 杭州 310053 |
Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang, China |
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| 吕帅洁 |
LYU Shuai-jie |
浙江中医药大学附属第一医院, 浙江 杭州 310006 |
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| 童培建 |
TONG Pei-jian |
浙江中医药大学, 浙江 杭州 310053
浙江中医药大学附属第一医院, 浙江 杭州 310006 |
Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang, China |
947502648@qq.com |
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| 期刊信息：《中国骨伤》2018年31卷，第5期，第484-487页 |
| DOI：10.3969/j.issn.1003-0034.2018.05.017 |
| 基金项目:国家自然科学基金资助项目（编号：81373669）；浙江省科技厅十二五重大专项（编号：2014C13G2120082）；浙江省卫生厅-省部共建项目（编号：201487674） |
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| 外侧型弹响髋（external snapping hip ，ESH）是指髋关节在做某一动作时引起患者感到或听到闷响声，伴或不伴局部疼痛的一种常见病。ESH的发病机制多与其特殊的解剖结构与摩擦因素有关。临床症状以活动时发出弹响为主，体格检查及X线、磁共振，动态超声等影像学技术可帮助诊断。治疗上症状轻者药物治疗、休息、理疗等即可取得好的临床疗效，保守治疗无效者国外多主张进行手术治疗，各式开放手术方式都能取得良好疗效，同时关节镜凭着创伤小、并发症少等优势，逐渐在国内外受到推广。同时有报道显示推拿、针灸、针刀等传统治疗手段在临床上亦取得了很好的疗效，值得进一步研究和推广。 |
| [关键词]:弹响髋 髂胫束 诊断 治疗 综述文献 |
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| Research progress on clinical diagnosis and treatment for external snapping hip |
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| Abstract:External snapping hip (ESH) is a vague term used to describe palpable or auditory snapping with hip movements with or without pain. The pathogenesis of ESH is related to the specific anatomical structure and friction factor. The clinical symptom is auditory snapping during activities, physical examination, X-ray, magnetic resonance imaging (MRI), dynamic ultrasound and other imaging techniques can be used to diagnose. Conservative medical management includes rest, avoidance of aggravating activities, and antiinflammatory medications. Treatment Patients with mild symptoms can achieve good results by medication, rest and physiotherapy. Surgical treatment for patients with ineffective conservative treatment was performed. All kinds of open surgery method can achieve good clinical curative effect, arthroscopic surgery is gradually been promoted due to small trauma, less complications. Besides, there are some reports that traditional treatments such as massage, acupuncture and acupotomology have achieved good clinical results, which deserve further study and promotion. |
| KEYWORDS:Snapping hip Iliotibial band Diagnosis Therapy Review literature |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 丁权威,张杰,吴泽庭,范梦强,吕帅洁,童培建.外侧型弹响髋临床诊治的研究进展[J].中国骨伤,2018,31(5):484~487 |
| 英文格式: | DING Quan-wei,ZHANG Jie,WU Ze-ting,FAN Meng-qiang,LYU Shuai-jie,TONG Pei-jian.Research progress on clinical diagnosis and treatment for external snapping hip[J].zhongguo gu shang / China J Orthop Trauma ,2018,31(5):484~487 |
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