| 股骨头缺血性坏死的介入治疗 |
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| 作者 | Author | 单位 | Address | E-Mail |
| 李峻辉 |
LI Jun-hui |
成都军区昆明总医院全军中医中心,云南昆明650032 |
Kunming General Hospital of Chengdu Military,Yunnan Kunming,650032,China |
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| 宁亚功 |
NING Ya-gong |
成都军区昆明总医院全军中医中心,云南昆明650032 |
Kunming General Hospital of Chengdu Military,Yunnan Kunming,650032,China |
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| 彭仲杰 |
PENG Zhong-jie |
成都军区昆明总医院全军中医中心,云南昆明650032 |
Kunming General Hospital of Chengdu Military,Yunnan Kunming,650032,China |
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| 贺斌 |
HE Bin |
成都军区昆明总医院全军中医中心,云南昆明650032 |
Kunming General Hospital of Chengdu Military,Yunnan Kunming,650032,China |
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| 成诗黔 |
CHENG Shi-qian |
成都军区昆明总医院全军中医中心,云南昆明650032 |
Kunming General Hospital of Chengdu Military,Yunnan Kunming,650032,China |
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| 栾晓文 |
LUAN Xiao-wen |
成都军区昆明总医院全军中医中心,云南昆明650032 |
Kunming General Hospital of Chengdu Military,Yunnan Kunming,650032,China |
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| 张晓云 |
ZHANG Xiao-yun |
成都军区昆明总医院全军中医中心,云南昆明650032 |
Kunming General Hospital of Chengdu Military,Yunnan Kunming,650032,China |
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| 叶建红 |
YE Jian-hong |
成都军区昆明总医院全军中医中心,云南昆明650032 |
Kunming General Hospital of Chengdu Military,Yunnan Kunming,650032,China |
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| 王云华 |
WANG Yun-hua |
成都军区昆明总医院全军中医中心,云南昆明650032 |
Kunming General Hospital of Chengdu Military,Yunnan Kunming,650032,China |
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| 期刊信息：《中国骨伤》2005年，第18卷，第1期，第3-5页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目:全军医药卫生科研基金课题(01MA045) |
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中文摘要:
目的:评价髂内动脉介入治疗对股骨头缺血性坏死的临床疗效。
方法:应用Seldinger技术经股动脉插管,选择髂内动脉数字减影血管造影(DSA)并灌注尿激酶、络泰、罂粟碱介入治疗股骨头缺血性坏死患者164例。其中男98例,女66例;年龄7～71岁,平均442岁。
结果:根据综合疗效评定标准治愈26例,显效94例,有效34例,无效10例,总有效率达939%。其中12例经治疗后行人工髋关节置换术。值得一提的是,X线片改善表现与临床症状改善不一定一致。
结论:选择髂内动脉介入治疗股骨头缺血性坏死,临床疗效确切,具有操作简便、安全可靠、创伤性小、并发症少等优点。早期诊断和及时进行有效的治疗是提高本病疗效的关键。 |
| 【关键词】股骨头缺血性坏死 介入治疗 数字减影血管造影 |
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| Interventional therapy for avascular necrosis of the femoral head |
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ABSTRACT
Objective:To evaluate the clinical effects of the interventional therapy through internal iliac artery on avascular necrosis of the femoral head (ANFH).
Methods:One hundred and sixty-four patients(male,98cases;female,66 cases)with ANFH were treated with perfusion of Urokinase,Luotai,Narceine by making digital subtraction angiography (DSA) in internal iliac artery with Seldinger technic.The average age of the patients was 44.2 years (range from 7 to 71 years).
Results:Acording to standard of the evaluation,the Results showed healing in 26 cases,markedly effective in 94,effective in 34 and ineffective in 10,the total effective rate was 93.9%.Of them,12 cases were treated with hip replacement after treatment.It is worth point out that improvement of the X-ray and clinical symptom was discordant sometimes.
Conclusion:The intervention therapy in internal iliac artery have definite therapeutic effect and the advantages such as operating conveniently,safely with little trauma and few complication.Early diagnosis and treatment is the key to the improvement of clinical effects. |
| KEY WORDS Avascular necrosis of the femoral head Interventional therapy Digital subtraction angiography |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 李峻辉,宁亚功,彭仲杰,贺斌,成诗黔,栾晓文,张晓云,叶建红,王云华.股骨头缺血性坏死的介入治疗[J].中国骨伤,2005,18(1):3~5 |
| 英文格式: | LI Jun-hui,NING Ya-gong,PENG Zhong-jie,HE Bin,CHENG Shi-qian,LUAN Xiao-wen,ZHANG Xiao-yun,YE Jian-hong,WANG Yun-hua.Interventional therapy for avascular necrosis of the femoral head[J].zhongguo gu shang / China J Orthop Trauma ,2005,18(1):3~5 |
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