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[1]段瑞奇,何偉,蔡樺.打壓支撐植骨術(shù)治療塌陷前期股骨頭壞死療效分析[J].中醫(yī)正骨,2013,25(08):3-6.
　Duan Ruiqi*,He Wei,Cai Hua.*.Clinical Analysis about Impacting Bone Graft Treating Pre-collapse Stage ONFH[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2013,25(08):3-6.
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打壓支撐植骨術(shù)治療塌陷前期股骨頭壞死療效分析()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第25卷
期數(shù):
2013年08期
頁碼:
3-6
欄目:
臨床研究
出版日期:
2013-08-30

文章信息/Info

Title:
Clinical Analysis about Impacting Bone Graft Treating Pre-collapse Stage ONFH
作者:
段瑞奇1; 何偉2; 蔡樺1
1.廣州中醫(yī)藥大學第三附屬醫(yī)院,廣東 廣州 510240;
2.廣州中醫(yī)藥大學第一附屬醫(yī)院,廣東 廣州 510405
Author(s):
Duan Ruiqi*; He Wei; Cai Hua.*
The No.3 Affiliated Hospital of GZTCM,Guangzhou 510240,Guangdong,China
關(guān)鍵詞:
股骨頭壞死 塌陷 手術(shù)治療
Keywords:
Femur head necrosis;  Collapse;  Operation
摘要:
目的:回顧性分析打壓支撐植骨術(shù)治療塌陷前期股骨頭壞死的臨床療效,分析比較影響療效的因素。方法:回顧性分析連續(xù)性塌陷前期股骨頭壞死患者,共44例47髖,其中ARCOⅡB 34髖,ⅡC 13髖,酒精性28例30髖,激素性16例17髖。兩組患者均接受打壓支撐植骨術(shù)治療,隨訪24～56個月,中位數(shù)41.5個月。結(jié)果:末次隨訪Harris評分(85.3±15.7)分,優(yōu)良率72.3%,有效率89.4%。術(shù)后正位共有23髖(48.9%)未塌陷,34髖(72.3%)塌陷<2 mm。ARCOⅡB 34髖術(shù)后有13髖發(fā)生塌陷,其中3髖塌陷>4 mm; ARCOⅡC 13髖術(shù)后11髖發(fā)生塌陷,其中4髖塌陷>4 mm。其中酒精性20髖,激素性4髖發(fā)生塌陷。最終有2髖轉(zhuǎn)向全髖關(guān)節(jié)置換術(shù)。結(jié)論:采用打壓支撐植骨術(shù)治療塌陷前期股骨頭壞死可以有效預防壞死股骨頭塌陷,根據(jù)本組數(shù)據(jù)壞死范圍和原因?qū)χ委熜Ч蓄A測作用。
Abstract:
Objective:To evaluate the effect of impacting bone graft in treating pre-collapse stage ONFH with retrospective study.Methods:44(47 hips)consecutive ONFH cases involving 34 ARCOⅡB hips,13ⅡC hips,28(30 hips)alcohol-induced cases and 16(17 hips)steriod-induced cases were treated by impacting bone graft.The follow up time was 24-56(averaged 42)months.Results:The Harris score was 85.3±15.7 at the last follow up,the excellent and good rate was 72.3%,effective rate was 89.4%.At anterior-posterior X-ray,no collapse was showed in 23 hips(48.9%),collapse <2 mm was showed in 34 hips(72.3%).13 ARCOⅡB hips showed collapse,and >4 mm was showed in 3 hips,13 ARCOⅡC hips collapsed, and >4 mm 4 hips.20 alcohol-induced hips collapsed,and 4 steriod-induced hips collapsed.2 hips converted to total hip arthroplasty.Conclusion:Using impacting bone graft can effectively prevent collapse of the pre-collapse stage ONFH.The stage and lesion size play an important role on therapeutic method selection and prognosis.

參考文獻/References:

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備注/Memo

備注/Memo:
2013-03-18收稿 2013-07-07修回
更新日期/Last Update: 2013-08-30