摘要
自1995年8月-1997年6月作者采用经旋股内、外动脉超选插管溶通术治疗股骨头缺血性坏死65例(76侧),经6个月—20个月随访,并采用血管造影和股骨头缺血性坏死疗效百分法评价判定,优良率84.3%,血管造影显示治疗后血管计数较治疗前增多(p<0.02)静脉回流改善。此方法适用于各种类型的患者,可减轻临床症状,提高生活质量。
From 1995 to 1997, the authors used a new technique for the treatment of 76 hips in 65 patients with avascular necrosis of the femoral head (ANFH) using the method of thrombolysis and opening through catheterizing and perfusing medial and lateral femoral circumflex arteries and stated the pathogenesis of avascular necrosis of the femoral head. The circulation and promoted veinous return volume depressed intrabony pressure and improved artery blood supply, resolved arterial embolism in the avascular area. 60 patients were follow up for 3-20 months giving satisfactory results. The success rate was 84. 3% . All patients were evaluated clinically, angiography and roentgenographyically according to a new grading treatment system for ANFH by the Chinese Society of Osteonecrosis. The angiography and DSA demonstrated an increased in vessel count after treatment (P<0.05). The authors belive the technique is suitable for the treatment of ANFH of the stage 1 to 4. It is a safe method with exact therapeutic effects.
出处
《骨与关节损伤杂志》
1998年第3期151-153,共3页
The Journal of Bone and Joint Injury