摘要
目的探讨股骨头坏死的早期治疗方法。方法对2001年1月～2004年4月在我院应用髓芯减压联合骨形成蛋白（bone morphogenetic protein，BMP）植入治疗的15例（17个髋）股骨头坏死的患者进行回顾性的分析。其中男6例，女9例，年龄36～62岁，平均47岁，随访时间26～94个月，平均53个月。按改良的Ficat分期标准，ⅡA期15例，ⅡB期1例，Ⅲ期1例。结果采用改良Jacobs百分评价法做为疗效标准，优14个髋（12个病人，均为ⅡA期），可2个髋，差1个髋。结论髓芯减压联合BMP植入能有效地治疗早期股骨头坏死。
Objective To seek a kind of effective therapy to early stage osteo-necrosis of the femoral heat. Methods A retrospective analysis of 15 patients （17 hips） with osteonecrosis of the hip treated with core decompression combined with bone grafting and BMP was conducted during January 2001 to February 2004. Six patients were men and nine patients were women. The average age at the time of the procedure was 47 years （range, 36～62 years）. Follow-up period ranged from 26 months to 94 months （mean 53 months）. According to a modification of the Ficat staging system, fifteen hips were classified as Ficat Stage Ⅱ A, one hip was classified as Ficat Stage Ⅱ B, one hip was classified as Ficat Stage Ⅲ. Results According to the modification of Jacobs evaluation system, fourteen hips （12 patients） who were stage： Ⅱ A hat excellent results without radiographic progression, two hips were normal, and one was bad. Conclusion Core decompression combined with boise grafting and BMP can effectively cure early stages of osteonecrosis of the femoral head.
出处
《潍坊医学院学报》
2006年第1期1-3,共3页
Acta Academiae Medicinae Weifang
关键词
股骨头坏死
髓芯减压
骨形成蛋白
植骨
Osteonecrosis of the femoral head
Core decompression
BMP
Bone grafting
