带肌蒂松质骨骨栓植入治疗股骨头缺血性坏死  

Treatment of Avascular Necrosis of Femoral Head by Grafting Cancellous Bone Bolt with Sartorius Pedicle

作　　者：王建超[1] 夏仁云[1] 

机构地区：[1]同济医科大学附属同济医院外科,武汉430030

出　　处：《同济医科大学学报》1997年第1期48-49,78,52,共4页Acta Universitatis Medicinae Tongji

摘　　要：介绍48例（共50例髋关节）股骨头缺血性坏死。原发性9例，继发性39例.其中股骨颈骨折并发股骨头坏死37例，长期使用皮质激素2例，均为双侧，共50例髋关节。以Ficat分期，Ⅰ期4例，ⅡA、ⅡB期34例，Ⅲ期12例。患者均采用坏死骨刮除带缝匠肌肌带松质骨骨拴植入治疗.并进行术后回顾性随防分析，随访时间足坛名年，最短1年，平均2.名年。结果表明:优良者43例，占86.0％，无并发症发生。对手术方法及其效果进行了分析讨论。The results of 50 hips in fortyeight patients who had osteonecrosis of the femoral head were assessed after treatment by grafting cancellous bone bolt with sartorius pedicle. According to Ficat, 34 hips were classified as stage Ⅱ, 12 as stage Ⅲ and 4 as stage 1. The postoperative effects were evaluated by melzer C 200 points. The patients were followed up for 1-4 years (mean: 2. 4 years). The result showed that 43 cases (petients) were satisfactory, which dominated over the group (86. 0 %).

关 键 词：股骨头坏死 缺血性坏死 肌蒂 松质骨 骨栓植入 

分 类 号：R681.805[医药卫生—骨科学] R687.3[医药卫生—外科学]