Otsenka dinamiki mineral'noy plotnosti kostnoy tkani vokrug endoproteza posle operatsii total'nogo bestsementnogo endoprotezirovaniya tazobedrennogo sustava u bol'nykh s revmaticheskimi zabolevaniyami

• Main Authors: S A Makarov, M A Makarov
• Format: Article
• Language: Russian
• Published: IMA-PRESS LLC 2008-04-01
• Series: Современная ревматология
• Online Access: https://mrj.ima-press.net/mrj/article/view/158

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.