经皮髓芯减压结合介入外置管治疗早期股骨头缺血性坏死(附50例)  

Percutaneous Core Decompression plus Intervention Externa Catheter Therapy for Early-Stage Ischemic Necrosis of the Femoral Head(A Report of 50 Cases)

作　　者：吴文泽[1] 向燕萍[1] 朱爱国[2] 谭国卫[1] 刘佩武[1] 刘四斌[1] 张杏蓉[1] 王光亚[1] 

机构地区：[1]长江大学荆州临床医学院荆州市中心医院放射科,湖北荆州434020 [2]长江大学医学院,湖北荆州434023

出　　处：《长江大学学报（自科版）（下旬）》2009年第1期29-30,33,共3页Journal of Yangtze University

基　　金：荆州市2008年度医药卫生科技攻关计划(2008-14-19)

摘　　要：目的:观察经皮髓芯减压结合介入外置管治疗早期股骨头缺血性坏死的临床疗效。方法:经X线平片、CT、MRI检查及临床证实的早期股骨头缺血性坏死50例病人,首先行股骨头经皮髓芯减压术,同时行经皮介入外置管治疗,保留外引流管1周。结果:①骨髓静脉造影复查显示50例回流通畅,回流时间加快。②治疗后1年X线平片复查显示:35例复查显示骨质完全修复,余15例有不同程度的骨质修复。③治疗后1年MRI复查显示:48例显示骨髓水肿消退,仅2例显示残留散在小斑点状骨髓水肿信号病灶。④治疗后1年临床症状随访结果:43例治疗后疼痛完全消除,大部分缓解5例,部分缓解2例,未改善0例,其临床症状改善率达100%。结论:经皮髓芯减压结合介入外置管治疗早期股骨头缺血性坏死,能明显改善股骨头的血液循环,促进股骨头坏死区的修复和重建。Objective:To evaluate the clinical effect of percutaneous core decompression plus Intervention externa catheter therapy for early-stage avascular necrosis of the femoral head.Methods:50Patients diagnosed on the basis of Radiographs,CT,MRI and clinical symptom.are treated with percutaneous core decompression,placed externa catheter into ischemic necrosis section of the femoral head and reserved the externa catheter in a week.Result:Veinous marrow return volume is promoted in 50patients;X-ray radiographs shows complete repair of the femoral head in 35patients,partial repair of the femoral head in 15patients;MRI shows the marrow edema of the femoral head dissipates in 48patients,small dot-like edema signal focus remains in 2patients;Hip pain and disorders of joint function are eliminated in 43patients.The rate of improvement is 100%.Conclusion:This therapy can improve the femoral head blood supply and promote the necrosis repair and reconstruction of the femoral head.

关 键 词：股骨头坏死 介入 经皮髓芯减压 静脉造影 

分 类 号：R445.4[医药卫生—影像医学与核医学] R658.3[医药卫生—诊断学]