摘要
目的 通过对股骨头缺血性坏死介入治疗的临床分析 ,评价该术的临床意义。方法 对 3 0 0例股骨头缺血性坏死患者共计 482髋 ,采用了选择性股骨头供血血管灌注具有扩张血管、溶栓、改善微循环及活血化瘀作用的药物进行治疗。结果 按 1 993年北戴河髋关节评价标准评价 ,并进行了统计学处理 ,患者治疗前后得分具有显著性差异 (P <0 .0 1 ) ;治疗后股骨头区域血管数目显著增加 ,与疼痛缓解有直接相关 ;本组病例经 1～ 3年追踪观察 ,有效率达 94.61 %。结论 改善或重建股骨头的血液循环是治疗股骨头缺血性坏死的关键 ,介入治疗可以有效地达到这个目的 ,具有积极的临床意义。
Objective To evaluate the clinical significance by the analysis of the interventional treatment for avascular necrosis head. Methods To 482 hipbones form 300 patients suffering from the necrosis head, the methods are used to adopt the selective blood supply vessels for femoral heads and dissolve the thrombus by using the dilated blood vessel, which can invigorate the blood circulation and reduce the extravasated blood. Results Based on the statistic theory and standards of evaluating the hipbone made in Beidaihe, the patients have remarkable differences ( P <0.01) before and after the treatment. The sharp increasing amount of blood vessels in the femoral head area, after the treatment ,has a directed connection with the reduction of the pain. Through one to three year trace observation, this group of cases has reached its efficacy of 94.61%. Conclusion The key to the treatment for the avascular necrosis of femoral head is to invigorate or reestablish the blood circulation of the femoral head. And the interventional treatment can reach this purpose effectively and has an active clinical significance.
出处
《中国医学影像技术》
CSCD
2001年第10期934-936,共3页
Chinese Journal of Medical Imaging Technology
关键词
股骨头缺血性坏死
介入治疗
重建血液循环
Avascular necrosis of femoral head
Interventional treatment
Reestablish blood supply
