摘要
目的 探讨酒精性股骨头缺血坏死的诊断与治疗。方法 对 2 1例 2 9个股骨头的病因进行系统分析 ,总结出其病因诊断和早期诊断的方法 ,并采用自行设计的三种术式 :带血管蒂的髂骨膜瓣和 /或带血管蒂的大转子骨瓣进行修复术、部分重建术和全头 (颈 )再造术进行治疗 ,并行 1 5～ 12年的有效随访。结果 本组病例中 ,唯有长期大量地摄入酒精 ,可以做为引起股骨头坏死的病因诊断依据 ,而无任何其它因素存在 ;术后病人优良率达到 5 8.% ,只有三个股骨头因术后继续饮酒而效果差占10 . 3 %。结论 酒精长期过量摄入可以直接导致股骨头缺血坏死 ,酒精做为病因诊断成立 ,再结合X线、CT、ECT、MRI等手段可以早期确诊 ;作者自行设计的三种术式疗效可靠 ,值得推广 ;术后继续饮酒会影响治疗效果 。
Objective To study the diagnosis and treatment of ethyl alcohol necrosis of femoral head.Methods We have analyzed the causes of 29 cases necrosis of femoral head and devised three kinds of operation:greater trochanter bone flap with pediclc blood vessels,part of femoral head reconstruction and overall femoral head reconstructions and followed up 1.5-12 years.Results In these cases, the only cause in drinking alcohol. No other cause, the good effect rate is 58.8%, the bad effect rate is 10.3%, because the patients continue to drink alcohol.Concluson Drinking more alcohol can cause the necrosis of femoral head. The alcohol is the cause.We can diagnose the disease by the X-ray,CT,ECT and MRI. The effect of three kinds of operations is reliable .If the patients continue drinking alcohol, the treatment effect is bad, even the necrosis of femoral head will be recurrent.
出处
《骨与关节损伤杂志》
2000年第4期258-260,共3页
The Journal of Bone and Joint Injury
关键词
股骨头缺血坏死
酒精
诊断
治疗
Necrosis of femoral head
Ethyl alcohol
Diagnosis
Treatment
