多孔髓芯减压支撑植骨并关节囊开窗治疗早期股骨头缺血性坏死的疗效观察  

作　　者：张波[1] 李志鹏[1] 段修武 李玲 王延生[1] 

机构地区：[1]山东滕州市中医医院骨科,277599 [2]枣庄市科技职业学院,277500 [3]山东能源枣矿集团滕南医院,277500

出　　处：《中国社区医师（医学专业）》2013年第21期32-33,共2页

摘　　要：目的:探讨多孔髓芯减压支撑植骨并关节囊开窗治疗早期股骨头缺血性坏死的疗效。方法:收治股骨头坏死患者148例(160髋),分为两组,对照组(80髋)为单纯髓芯减压组;试验组(80髋)为多孔髓芯减压支撑植骨并关节囊开窗组,临床采用Harris评分系统评估,并分期X线MRI检查。结果:经平均18个月随访,两组末次随访时髋关节Harris评分均高于术前,多孔髓芯减压支撑植骨并关节囊开窗组Harris评分高于单纯减压组(P<0.01)。结论:多孔髓芯减压支撑植骨并关节囊开窗可有效进行骨内及关节内减压,改善内环境,减轻疼痛,阻止病情发展或延缓病情发展,该方法简单有效,花费低,适合早期股骨头缺血性坏死的患者,优于单纯髓芯减压治疗。Objective：To Study the technique of medullary core decompression and implantation supporting bone and the capsular cutting window for the patients with avascular necrosis of femoral head at early stage by evaluate the clinical effect.Methods：SinceOctober 2005 to June 2013,A retrospective study was made on160 hips in 148 patients with avascular necrosis of femoral head at early stage by medullary core decompres- sion and with（80hips） or without （80hips） implantationation supporting bone and the capsular cutting window.The Harri＇ s hip rating score system and the Results of X-ray and MRI photos was used to evaluate the clinical efficacy of surgery.Results：All the patients were followed up for a mean time of 18months.The average Harris score increased.The Harris score of group with implantationation supporting bone and the capsular cutting window is better than the group without implantationation supporting bone and the capsular cutting window（P 〈 0.01）. Conclusion：h is sure that the effect of decrease the pressure of bone and joint,improve the environment,reduce the pain of hip,prevent illness development or delay the disease development by medullary core decompression and implantation supporting bone and the capsular cutting window.This method can be applied to patients with the avascular necrosis of femoral head at early stage and it is better than the method without implantation supporting bone and the capsular cutting window.

关 键 词：股骨头缺血性坏死 多孔髓芯减压 支撑植骨 关节囊开窗 

分 类 号：R681.8[医药卫生—骨科学]