股骨头缺血坏死早期影像诊断与介入及康复治疗  

Imaging diagnosis of femoral head avascular necrosis in earlier period and interventional therapy plus rehabilitation therapy

作　　者：杜国智 卢武胜[2] 汪小舟[1] 周军[1] 黎桂英[1] 魏立宏[1] 

机构地区：[1]眉山市人民医院MRI室,四川眉山620010 [2]四川大学华西医院血管介入科,四川成都610000

出　　处：《现代医药卫生》2012年第9期1321-1322,1324,共3页Journal of Modern Medicine & Health

摘　　要：目的探讨股骨头缺血坏死(avascular necrosis of femoral head,ANFH)早期影像学诊断与介入及康复疗法。方法 52例(64髋)ANFH采用Selding′s技术经股动脉插管超选择留置导管在旋股内、旋股外及闭孔动脉持续动脉内药物灌注治疗。术后康复治疗、生活指导1～12个月。结果 52例均经临床3～48个月随访,临床症状改善率90.6%。结论对ANFH患者进行早期诊断、早期治疗,疗效满意,术后康复指导是确保取得治疗效果的必要措施。Objective To evaluate the imaging diagnosis of avascular necrosis of temoral head（ANFH） m earher period and interventional and rehabilitation therapy. Methods 52 cases （64 hips） of ANFH were treated with continuative administra- tion of medicines through indwelling catheter in lateral femoral circumflex and medial femoral circumflex artery and obturator arte- riae using Seldinger technique. Postoperative rehabilitation care and living direction persisted for 1-12 months. Results All pa- tients were followed up for 3-48 months. The improvement rate of clinical symptoms was 90.6%. Conclusion Early diagnosis and early treatment in ANFH have satisfactory effects and the postoperative rehabilitation guidance is the necessary measure to ensure the therapeutic efficacy.

关 键 词：股骨头坏死 磁共振成像 介入性 导管 留置 动脉导管 康复 

分 类 号：R683.42[医药卫生—骨科学]