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依据x线所见,将人工透析患者加以分类,重点对脂质代谢和血清β-甘油磷酸酶(BGP)进行了血液生化学检查,并对骨坏死的病因加以探讨。以既往无肾移植的透析患者为对象,根据骨代谢、肾性骨异营养症的x线特点、骨坏死的有无及其程度将169例患者分为3组。即把骨膜新骨形成或硬化性改变等明显,有骨增生性变化的22例定为骨形成型,把按慈大分类Ⅰ度以上,或各指数3以下骨萎缩的32例定为骨萎缩型其余115例为正常型,共分为3组。然后根据肾性骨异营养症的x线特征,把继发性甲旁亢导致明显改变的64例定为纤维性骨炎型,把有假骨折或骨盆倾斜、胸廓吊钟型变形的15例定为骨软化型,把不属于上述类型的90例定为其它,共分为
According to the x-ray findings, the patients undergoing dialysis were classified and the biochemical examination of lipid metabolism and serum β-glycerophosphate (BGP) was performed. The etiology of osteonecrosis was also discussed. 169 patients were divided into 3 groups according to the characteristics of bone metabolism, x-ray of renal osteoarthritis, the presence or absence of osteonecrosis, and dialysis patients without renal transplantation. Namely, the periosteal new bone formation or sclerosing changes were obvious, with 22 cases of bone hyperplasia as the bone formation of bone formation type, according to the Cataclysm Ⅰ degree or more, or less than 3 index of bone atrophy 32 cases of bone atrophy The remaining 115 cases of normal type, is divided into 3 groups. Then according to the x-ray features of renal allodynia, 64 cases of secondary hyperparathyroidism caused by significant changes were defined as fibrous osteitis type, the fake fracture or pelvic tilt, thoracic bell-type deformation in 15 cases As the osteomalacia type, not belonging to the above types of 90 cases for the other, are divided into