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带血管蒂的髂骨骨膜治疗股骨头缺血坏死 被引量:4

Treatment of Avascular Necrosis of The Femoral Head with Transplantation of Vascularized Iliac Periosteal Flaps
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摘要 股骨头缺血坏死的治疗很困难,作者自1983年3月~1987年6月采用带血管蒂的髂骨骨膜治疗股骨头缺血坏死共6例,经3~7.5年观察,疗效很满意。经治疗病例的髋部疼痛消失,行走良好,恢复正常工作;X线照片见头部原有的塌陷已隆起,轮廓清晰,头圆光滑,头颈骨质密度正常。实验研究表明,有血运的骨膜对股骨头缺血坏死,有改善循环、重建血循及成骨作用。此种手术方法适于治疗股骨头缺血坏死Ⅰ、Ⅱ、Ⅲ期患者。 The treatment of avascular necrosis of femoral head is very difficult. Six patients with avascular necrosis of the femoral head were treated with vascularized iliac periosteal flaps transplantation from March, 1983 to June, 1987. The results were excellent, followup was 3-7.5 years. The hip pain was passed away and the patients could walk well and come back to work. x-ray film showed the collaps of the femoral head were hilled up normally, and the contours were clear and smooth. The density of femoral neck and head were normal. The study indicated that vascularized periosteal flaps could improve and reconstruct the blood circulation of the femoral head, also had an excellent osteogenic capacity. This method can be applicated forⅠ-Ⅲ type femoral head necrosis.
出处 《中华创伤杂志》 CAS CSCD 北大核心 1992年第6期321-323,共3页 Chinese Journal of Trauma
关键词 骨膜 血管蒂 坏死 股骨头 Periosteal flaps Vascularized necrosis Femoral head
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