摘要
目的 通过对 6 0例由同一术者采用不同血管供血的自体活骨移植治疗股骨头缺血性坏死 (AVNFH)的远期随访结果进行比较研究和术者的经验总结 ,进一步探讨不同方法治疗AVNFH的适应证和优缺点。方法 同一术者采用带旋髂深动脉髂骨移植治疗AVNFH 30例 ;吻合血管游离腓骨移植治疗 1 2例 ;带旋髂浅动脉髂骨移植治疗 6例 ;带旋股外动脉升支髂骨移植治疗 8例 ;带胫前动脉胫骨骨膜移植治疗 4例。进行了 5～ 2 0年的 (平均 8年 )随访。结果 6 0例患者 ,按Harris髋关节评分 ,总体优良率为 78 3% ,统计分析表明 ,各种方法治疗的优良率之间无显著差别。结论 不同血管供血自体活骨移植 ,只要适应证掌握得当 。
Objective Further discussing the indication,advantage and disadvantage of various methods of bone grafting with different blood vessel for treating avascular necrosis of femoral head (AVNFH) by comparative studying the long dated results and summarizing the experiences of the operator.Methods Treated by the same operator,30 cases were performed iliac bone grafting with arteriae circumflexa ilium profunda,6 cases iliac bone grafting with arteriae circumflexa ilium superficialis,8 cases iliac bone grafting with ascending limb of arteriae circumflexa femoris lateralis,12 cases performed vascular anastomosing free fibula grafting,4 cases performed periosteum grafting with arteriae tibialis anterior.Follow up time was from 5 to 20 years,average 8 years.Results Among the 60 cases,total excellent or good rate was 78 3%.Statistical analysis showed that there was no evident difference between these methods.Conclusion No matter what method you choose,good results will be got if you selected the proper cases and treated AVNFH by autogenous bone grafting with different vascular.
出处
《骨与关节损伤杂志》
2004年第2期76-78,共3页
The Journal of Bone and Joint Injury
关键词
活骨移植
治疗
股骨头缺血性坏死
带血管蒂骨移植
吻合血管游离腓骨移植
Avascular necrosis of femoral head
Vascular pedicle bone grafting
Vascular anastomosing free fibula grafting
Vascular anastomosing periosteum grafting
