Otsenka dinamiki mineral'noy plotnosti kostnoy tkani vokrug endoproteza posle operatsii total'nogo bestsementnogo endoprotezirovaniya tazobedrennogo sustava u bol'nykh s revmaticheskimi zabolevaniyami
Tsel' issledovaniya. Otsenivali mineral'nuyu plotnost' kostnoy tkani (MPK) vokrug bedrennogo i atsetabulyarnogo komponentov endoproteza posle operatsii total'nogo bestsementnogo endoprotezirovaniya tazobedrennogo sustava u bol'nykh s revmaticheskimi zabolevaniyami (RZ) v per...
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| Format: | Article |
| Language: | Russian |
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IMA-PRESS LLC
2008-04-01
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| Series: | Современная ревматология |
| Online Access: | https://mrj.ima-press.net/mrj/article/view/158 |
| _version_ | 1797876880464936960 |
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| author | S A Makarov M A Makarov |
| author_facet | S A Makarov M A Makarov |
| author_sort | S A Makarov |
| collection | DOAJ |
| description | Tsel' issledovaniya. Otsenivali mineral'nuyu plotnost' kostnoy tkani (MPK) vokrug bedrennogo i atsetabulyarnogo komponentov endoproteza posle operatsii total'nogo bestsementnogo endoprotezirovaniya tazobedrennogo sustava u bol'nykh s revmaticheskimi zabolevaniyami (RZ) v period maksimal'noy aktivnosti stressovogo remodelirovaniya (0-6 mes), a takzhe cherez 12 mes. Materialy i metody. Obsledovan 141 bol'noy s razlichnymi formami RZ. Vse patsienty nakhodilis' na lechenii v ortopedicheskom otdelenii Instituta revmatologii RAMN. U 81 (57,4%) bol'nogo byli vospalitel'nye zabolevaniya sustavov i sistemnye zabolevaniya soedinitel'noy tkani (revmatoidnyy artrit - RA, sistemnaya krasnaya volchanka, yuvenil'nyy RA, ankiloziruyushchiy spondiloartrit) i u 60 (42,6%) - osteoartroz (OA). Bol'nym vypolnyali operatsiyu total'nogo endoprotezirovaniya tazobedrennogo sustava s primeneniem bestsementnoy tekhniki fiksatsii. Rezul'taty issledovaniya. Pokazano, chto posle operatsii total'nogo endoprotezirovaniya tazobedrennogo sustava voznikayut izmeneniya, svyazannye s adaptivnoy perestroykoy kostnoy tkani i vedushchie k narusheniyu ee normal'nogo metabolizma i funktsionirovaniya. Na etom fone snizhenie regeneratornykh vozmozhnostey kostnoy tkani i soputstvuyushchie osteopeniya ili osteoporoz delayut neobkhodimym naznachenie bol'nym preparatov, vliyayushchikh na remodelirovanie kostnoy tkani, srazu (ne menee chem cherez 6 mes) posle operatsii, poskol'ku imenno v etot period proiskhodyat naibolee vyrazhennye izmeneniya, obuslovlennye razvitiem stressovogo remodelirovaniya. |
| first_indexed | 2024-04-10T02:09:23Z |
| format | Article |
| id | doaj.art-20734df8932540638a434736815bb7c9 |
| institution | Directory Open Access Journal |
| issn | 1996-7012 2310-158X |
| language | Russian |
| last_indexed | 2024-04-10T02:09:23Z |
| publishDate | 2008-04-01 |
| publisher | IMA-PRESS LLC |
| record_format | Article |
| series | Современная ревматология |
| spelling | doaj.art-20734df8932540638a434736815bb7c92023-03-13T08:39:19ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2008-04-0122636610.14412/1996-7012-2008-4731463Otsenka dinamiki mineral'noy plotnosti kostnoy tkani vokrug endoproteza posle operatsii total'nogo bestsementnogo endoprotezirovaniya tazobedrennogo sustava u bol'nykh s revmaticheskimi zabolevaniyamiS A MakarovM A MakarovTsel' issledovaniya. Otsenivali mineral'nuyu plotnost' kostnoy tkani (MPK) vokrug bedrennogo i atsetabulyarnogo komponentov endoproteza posle operatsii total'nogo bestsementnogo endoprotezirovaniya tazobedrennogo sustava u bol'nykh s revmaticheskimi zabolevaniyami (RZ) v period maksimal'noy aktivnosti stressovogo remodelirovaniya (0-6 mes), a takzhe cherez 12 mes. Materialy i metody. Obsledovan 141 bol'noy s razlichnymi formami RZ. Vse patsienty nakhodilis' na lechenii v ortopedicheskom otdelenii Instituta revmatologii RAMN. U 81 (57,4%) bol'nogo byli vospalitel'nye zabolevaniya sustavov i sistemnye zabolevaniya soedinitel'noy tkani (revmatoidnyy artrit - RA, sistemnaya krasnaya volchanka, yuvenil'nyy RA, ankiloziruyushchiy spondiloartrit) i u 60 (42,6%) - osteoartroz (OA). Bol'nym vypolnyali operatsiyu total'nogo endoprotezirovaniya tazobedrennogo sustava s primeneniem bestsementnoy tekhniki fiksatsii. Rezul'taty issledovaniya. Pokazano, chto posle operatsii total'nogo endoprotezirovaniya tazobedrennogo sustava voznikayut izmeneniya, svyazannye s adaptivnoy perestroykoy kostnoy tkani i vedushchie k narusheniyu ee normal'nogo metabolizma i funktsionirovaniya. Na etom fone snizhenie regeneratornykh vozmozhnostey kostnoy tkani i soputstvuyushchie osteopeniya ili osteoporoz delayut neobkhodimym naznachenie bol'nym preparatov, vliyayushchikh na remodelirovanie kostnoy tkani, srazu (ne menee chem cherez 6 mes) posle operatsii, poskol'ku imenno v etot period proiskhodyat naibolee vyrazhennye izmeneniya, obuslovlennye razvitiem stressovogo remodelirovaniya.https://mrj.ima-press.net/mrj/article/view/158 |
| spellingShingle | S A Makarov M A Makarov Otsenka dinamiki mineral'noy plotnosti kostnoy tkani vokrug endoproteza posle operatsii total'nogo bestsementnogo endoprotezirovaniya tazobedrennogo sustava u bol'nykh s revmaticheskimi zabolevaniyami Современная ревматология |
| title | Otsenka dinamiki mineral'noy plotnosti kostnoy tkani vokrug endoproteza posle operatsii total'nogo bestsementnogo endoprotezirovaniya tazobedrennogo sustava u bol'nykh s revmaticheskimi zabolevaniyami |
| title_full | Otsenka dinamiki mineral'noy plotnosti kostnoy tkani vokrug endoproteza posle operatsii total'nogo bestsementnogo endoprotezirovaniya tazobedrennogo sustava u bol'nykh s revmaticheskimi zabolevaniyami |
| title_fullStr | Otsenka dinamiki mineral'noy plotnosti kostnoy tkani vokrug endoproteza posle operatsii total'nogo bestsementnogo endoprotezirovaniya tazobedrennogo sustava u bol'nykh s revmaticheskimi zabolevaniyami |
| title_full_unstemmed | Otsenka dinamiki mineral'noy plotnosti kostnoy tkani vokrug endoproteza posle operatsii total'nogo bestsementnogo endoprotezirovaniya tazobedrennogo sustava u bol'nykh s revmaticheskimi zabolevaniyami |
| title_short | Otsenka dinamiki mineral'noy plotnosti kostnoy tkani vokrug endoproteza posle operatsii total'nogo bestsementnogo endoprotezirovaniya tazobedrennogo sustava u bol'nykh s revmaticheskimi zabolevaniyami |
| title_sort | otsenka dinamiki mineral noy plotnosti kostnoy tkani vokrug endoproteza posle operatsii total nogo bestsementnogo endoprotezirovaniya tazobedrennogo sustava u bol nykh s revmaticheskimi zabolevaniyami |
| url | https://mrj.ima-press.net/mrj/article/view/158 |
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