月骨缺血性坏死治疗进展  

PROGRESS IN TREATMENT OF Kienbck’s DISEASE

作　　者：肖聪[1] 黄富国[1] 

机构地区：[1]四川大学华西医院骨科成都,610041

出　　处：《中国修复重建外科杂志》2011年第3期369-372,共4页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的总结月骨缺血性坏死的临床治疗进展。方法查阅国内外有关月骨缺血性坏死治疗研究的相关文献,并进行综合分析。结果月骨缺血性坏死治疗方法较多,主要分为保守治疗和手术治疗,治疗方法的选择主要依据解剖因素和Lichtman分期。儿童患者和Lichtman分期Ⅰ期患者宜选择保守治疗。手术治疗方法主要有带蒂骨瓣移位填塞月骨骨壳、桡骨截骨短缩术、桡骨楔形截骨术等,各有优缺点。结论月骨缺血性坏死治疗方式应针对患者不同症状及分期选择,以达到理想的治疗效果。Objective To review the progress in the clinical treatment of Kienbock＇s disease. Methods Related literature concerning the treatment of Kienbock＇s disease was reviewed, and comprehensive analysis was done. Results The treatment methods of Kienbock＇s disease include non-surgical treatment and surgical treatment, which are primarily guided by the anatomic factor and Lichtman stage. Non-surgical treatment methods should be selected in patients of children and at stage I. Surgical treatment methods include vascularized bone graft transfer into the cored-out lunate, radial shortening osteotomy, radial lateral wedge osteotomy, etc. All surgical treatment methods have advantages and disadvantages. Conclusion For the treatment of Kienbrck＇s disease, none of procedure is superior to another. In short, choosing different treatment strategies based on different patients can achieve the desired outcome.

关 键 词：月骨缺血性坏死 治疗 研究进展 

分 类 号：R681.7[医药卫生—骨科学]