带旋股外动脉升支血管蒂髂骨瓣移植治疗Ⅱ、Ⅲ期股骨头坏死的临床观察  

The Treating Observation on Ⅱ and Ⅲ Stage Femoral Head Necrosis by Implantation of Pedicled Iliac Bone Graft with Ascending Branch of Lateral Femoral Circumflex Artery

作　　者：隋吉生[1] 蒋纯志[1] 王黎明[1] 许光跃[1] 

机构地区：[1]南京医科大学附属南京第一医院骨科,江苏南京210006

出　　处：《临床医学工程》2009年第9期62-63,共2页Clinical Medicine & Engineering

摘　　要：目的探讨II、III期股骨头坏死有效的治疗方法,以指导临床工作。方法收集我院诊治的79例(79髋)II、III期股骨头坏死的患者,采用带旋股外动脉升支血管蒂髂骨瓣移植的手术治疗,观察其疗效。结果本组于术后48～72个月随访,优良率为92.31%;股骨头坏死II期患者的优良率(97.73%)明显高于III期患者(85.29%)。结论带旋股外动脉升支血管蒂髂骨瓣移植为治疗II、III期股骨头坏死的有效方法,尤其对II期股骨头坏死的疗效更加明显,临床应推广应用。Objective To study the treating methods on femoral head necrosis of Ⅱ and Ⅲ stages. Methods 79 patients were observed by operative treatment, and their curative efficacy were observed by follow-up. Results The excellent and good rate was 92.31%, but the curative effect was obviously higher in the Ⅱ stage（97.73%） than in the Ⅲ stage of femoral head necrosis（85.29%）. Conclusions The implantation of pedicled iliac bone graft with ascending branch of lateral femoral circumflex artery is effective to femoral head necrosis, espeieially to the Ⅱ stage. The treating methods is worthy of being recommended in clinical treatment.

关 键 词：旋股外动脉升支 髂骨瓣移植 股骨头坏死 分期 治疗 

分 类 号：R687.3[医药卫生—骨科学]