骨瓣移植加血管内介入治疗股骨颈骨折不愈合  

Study on Implantation of Pedicled Iliac Bone Graft with Intravascular Interventional Therapy in Treatment of the Nonunion of Femoral Neck Fracture

作　　者：叶茂 郑泽锋 房振春 赵新建 

机构地区：[1]广东省佛山市顺德区顺德聚龙医院,广东佛山528319

出　　处：《中国现代医生》2009年第16期8-9,19,共3页China Modern Doctor

摘　　要：目的探讨带旋股外动脉升支血管蒂髂骨瓣移植辅助血管内介入治疗青壮年股骨颈不愈合的疗效。方法取85例股骨颈不愈合的青壮年患者,依据随机的原则分为观察组(49例)和对照组(36例),观察组患者进行带旋股外动脉升支血管蒂髂骨瓣移植辅助血管内介入治疗,对照组患者单纯进行带旋股外动脉升支血管蒂髂骨瓣移植治疗,观察两组治疗的效果。结果85例患者的愈合率为97.65%,观察组的优良率(95.92%)明显高于对照组(82.35%)。结论带旋股外动脉升支血管蒂髂骨瓣移植辅助血管内介入为治疗青壮年股骨颈不愈合的有效方法,临床可以推广应用。Objective To study the curative effect on implantation of pedicled iliac bone graft with ascending branch of lateral femoral circumflex artery and interventional therapy in treating the nonunion of femoral neck fracture in the youth and the prime,for accumulating clinical experience and directing the clinical work. Methods Eighty-five patients with nonunion of femoral neck fracture were divided into two groups. The observation group （49 cases） were treated by implantation and interventional therapy. The control group （36 cases） were treated only by implantation. The curative effect were observed in the two group. Results The total rate of curative efficacy was 97.65%. The total rate of excellent was obviously higher in the observation group （95.92%） than in the control group （82.35%）. Conclusion The implantation of pedicled iliac bone graft with ascending branch of lateral femoral circumflex artery and interventional therapy is worthy of being recommended in the youth and prime patients with nonunion of femoral neck fracture.

关 键 词：骨瓣移植 旋股外动脉升支 股骨颈 骨折 不愈合 介入治疗 

分 类 号：R274.12[医药卫生—中医骨伤科学]