改良“鸡尾酒疗法”治疗成人股骨头缺血性坏死的效果  

Treating adult ischemic necrosis of femoral head with modified technique of cocktail

作　　者：王树[1] 王加宽[2,3] 李俊[2,3] 陈智博[2,3] 盛春勇[2,3] 

机构地区：[1]南京医科大学第一临床医学院,江苏省210029 [2]扬州大学医学院附属医院 [3]扬州市妇幼保健院骨科

出　　处：《江苏医药》2015年第6期652-654,共3页Jiangsu Medical Journal

基　　金：扬州市社会发展计划(YZ2010086)

摘　　要：目的观察改良"鸡尾酒疗法"治疗成人股骨头缺血性坏死的疗效。方法股骨头缺血性坏死患者23例(29髋),在坏死病灶清除、浓集自体骨髓细胞移植、自体骨及人工骨打压植骨等传统"鸡尾酒疗法"基础上,同时采用旋髂深血管蒂骨膜瓣与旋股外侧血管蒂阔筋膜张肌髂骨瓣复合移植,保留重建坏死塌陷的病变股骨头。术后按Harris评分标准评价髋关节功能。结果 23例患者获随访2-8年。术后髋关节功能优8例,良11例,可1例,差3例;治疗优良率82.6%。结论改良"鸡尾酒疗法"治疗成人股骨头缺血性坏死的临床疗效好。Objective To observe the efficacy of modified technique of cocktail in the treatment of adult ischemic necrosis of femoral head.Methods Twenty three cases（29hips）with adult ischemic necrosis of femoral head were treated with a modified technique of cocktail.The treatments included decompression and debridement of necrotic area of the femoral head,autologous concentrated bone marrow cell transplantation,artifical bone graft,and transplantation of the tissue flap with deep circumflex iliac vessels on the necrotic and collapsed area of the femoral head.The hip function was evaluated with Harris scoring system of hip before and after operation.Results The patients were followed up for 2to 8years.The hip function was evaluated as excellent in 8cases,good in 11 cases,fair in 1case and poor in 3cases.The overall excellence rate was 82.6%.Conclusion The modified technique of cocktail is effective in the treatment of adult ischemic necrosis of femoral head.

关 键 词：股骨头坏死 

分 类 号：R681[医药卫生—骨科学]