旋股外侧血管升支的髂嵴支和髂前下棘支双骨膜瓣转移治疗Perthes病  

Two periosteal flap pedicled with anterior superior iliac and anterior inferior iliac branches of lateral femoral circumflex vessel transposition for the treatment of Perthes disease

作　　者：赵德伟[1] 崔旭[1] 孙强[1] 于小光[1] 范志伟[1] 廉皓屹[1] 王本杰[1] 

机构地区：[1]大连医科大学附属四院骨科,大连市116001

出　　处：《中华显微外科杂志》2003年第4期259-261,共3页Chinese Journal of Microsurgery

摘　　要：目的　为儿童股骨头缺血性坏死 (Perthes病 )提供一种有效且简单易行的显微外科治疗方法。　方法　在 3 2侧下肢标本解剖学研究的基础上 ,设计旋股外侧血管升支的髂嵴支和髂前下棘支双骨膜瓣转移治疗Perthes病 11例。　结果　临床治疗 11例 ,术后经过 1年～ 3 5年随访 ,优良率达82 %。　结论　该方法能够有效提供股骨头的血供 ,增加股骨头的成骨能力 ,是一种治疗Perthes病的有效方法。Objective To provide an effective and convenient microsurgical method for ischemic necrosis of femoral head in children (Perthes disease) Method Basing on anatomic study, two periosteal flap pedicled with anterior superior iliac and anterior inferior iliac branches of lateral femoral circumflex vessel transposition was designed for the treatement of Perthes disease Result Eleven patients were performed with this method, and the average period of follow up was 2 1 years (range 1～3 5 years) The good and excellent rate was 82 percent Conclusion The operative method can not only provide with plenty of blood supply,but also increase osteogenic ability of the femoral head So, it is an effective method for the treatment of Perthes disease

关 键 词：旋股外侧血管升支 髂嵴支 髂前下棘支双骨膜瓣转移 治疗 PERTHES病 股骨头缺血性坏死 

分 类 号：R726.8[医药卫生—儿科]