最後更新：2026年10月1日
股骨頭因血液供應中斷導致骨壞死的退化性疾病，又稱 Legg-Calvé-Perthes 病。好發於小型品種幼犬（4-11 月齡）。表現為進行性後肢跛行與肌肉萎縮。
Cats often present with subtle clinical signs and mask illness effectively. Stress minimization during examination is important (Cat Friendly Practice guidelines). Drug metabolism differences (deficient hepatic glucuronidation) require feline-specific dosing protocols.
小型品種幼犬好發。Yorkshire Terrier、West Highland White Terrier、Miniature Pinscher。
這頁有幾個欄位是同系統共用的模板，還沒針對本疾病單獨改寫過。請以臨床判斷為準，記得對照下方文獻。
立即評估 ABC（氣道/呼吸/循環）→ 穩定生命徵象 → 建立靜脈通路 → 針對病因治療 → 持續監測
建議：術後維持量 LRS 或 Plasmalyte，恢復進食後可停止
類型：LRS
監測頻率：每日（術後）；每次回診
[1]Analysis of Animal Models of Traumatic Osteonecrosis of the Femoral Head Based on Blood Supply: A Literature Review.
[2]Integrative analyses of genes related to femoral head osteonecrosis: an umbrella review of systematic reviews and meta-analyses of observational studies.
[3]SOST/Sclerostin impairs the osteogenesis and angiogesis in glucocorticoid-associated osteonecrosis of femoral head.
[4]MAGL blockade alleviates steroid-induced femoral head osteonecrosis by reprogramming BMSC fate in rat.
[5]Glycolytic reprogramming impairs chondrocyte function in broilers with femoral head necrosis.
需系統性診斷與治療計畫，延遲可能影響預後 (systematic workup needed, delay may affect prognosis)
FHO 手術後預後良好至優良。小型犬功能恢復佳。需 4-8 週恢復期配合物理治療。
股骨頭無血管性壞死 診斷流程
詳細問診包括發病經過、用藥史、環境暴露史
CBC、生化全套、尿液分析
根據檢查結果啟動特異性治療
來源：自動產生