| 介入法治疗股骨头坏死的血管造影术观察 |
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Received:December 04, 2002 Revised:February 27, 2003
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| 作者 | Author | 单位 | Unit | E-Mail |
| 童培建 |
TONG Peijian |
浙江省中医院骨伤科,浙江 杭州 310006 |
Zhejiang HangZhou, 310006, China |
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| 何维英 |
HE Weying |
浙江省诸暨市中医院骨伤科 |
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| 季卫锋 |
JI Weifeng |
浙江省中医院骨伤科,浙江 杭州 310006 |
Zhejiang HangZhou, 310006, China |
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| 郑文标 |
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浙江省中医院骨伤科,浙江 杭州 310006 |
Zhejiang HangZhou, 310006, China |
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| 马镇川 |
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浙江省中医院骨伤科,浙江 杭州 310006 |
Zhejiang HangZhou, 310006, China |
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| 肖鲁伟 |
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浙江省中医院骨伤科,浙江 杭州 310006 |
Zhejiang HangZhou, 310006, China |
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| 期刊信息：《中国骨伤》2003年16卷，第11期，第647-648页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目:国家中医药管理局重点课题(97A205) |
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目的:观察和分析89例(142髋)治疗前后的股骨头坏死的数字剪影血管造影(DSA)的影像学表现。
方法:旋股内动脉插管造影和灌注尿激酶、丹参和川芎嗪的基础上将骨髓基质干细胞灌注。
结果: ①根据Atsumi,T股骨头坏死分期与血管造影上干骺动脉分型关系:股骨头坏死0期、1期和2期表现为股骨头内Ⅱ型血管为主,Ⅳ型和Ⅴ型血管较少;3期则Ⅱ型血管减少,而Ⅳ型和Ⅴ型血管增多;②股头坏死治疗前后与血管造影上干骺动脉分型关系:治疗前Ⅱ型血管占21.8%,治疗后Ⅱ型血管占9.1%且Ⅳ、Ⅴ血管明显增多;③股骨头坏死治疗前后与旋股内动脉/旋股外动脉的血管管径比为0.60± 0.14,经治疗后旋股内动脉增粗,旋股内动脉/旋股外动脉的血管管径比增大为0.89± 0.21。
结论:股骨头坏死的发生、发展与股骨头骨循环、股骨头骨血管变化有很大的关系,血管融通术加骨髓基质干细胞灌注治疗股骨头坏死值得进一步研究。 |
| [关键词]:股骨头坏死 融通术 干细胞,骨髓 数字减影血管造影 |
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| The image of the digital subtraction angiography (DSA) about the insertion of marrow stem cells based on the dredging operation for the osteonecrosis of the femoral head |
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Abstract:
Objective:To analyze the image of the digital subtraction angiography of the osteonecrosis of the femoral head before and after treatment on 89 cases (142 hips)
Methods:Based on medial femoral circumflex artery angiography and perfusion of Urokinase \ DanShen \ Ligustrazine, marrow stem cells were insert.
Results:The vessel in the femoral head was grouped into 5 type on the basis of type of branch of the medial femoral circumflex artery according to Astumi, T. (1)Relationship of stages of osteonecrosis of the femoral head to types of the vessel of medial femoral circumflex artery into femoral head was shown as: type II vessel is main and then type IV and type V vessel is rare on the 0 staged stage and 2 stage. Type IV and type V vessel is main and then type II vessel is rare on 3 stage. (2)Relationship of treatment of osteonecrosis of the femoral head to types of the vessel of medial femoral circumflex artery into femoral head was shown as: type II vessel accounts for 21.8% before treating,type E vessel accounts for 9.1% and type IV and type V vessel was increased after treating. (3)Relationship of treatment of osteonecrosis of the femoral head to diameter of the vessel of medial femoral cirumflex artery into femoral head was shown as:The diameter of medial femoral circumflex artery after treating is wider than before treating,they are 0.89 ±0.21 and 0.60 ± 0.14 seperately.
Conclusion:Occurrence and progress of osteonecrosis of femoral head is related to medial femoral circumflex artery into femoral head. The insertion of marrow stem cells based on the dredging operation for media femoral circumflex artery is worth studying. |
| KEYWORDS:Femur head necrosis Dredging operation Stem cells, myeloid Digital subtraction angiography (DSA) |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 童培建,何维英,季卫锋,郑文标,马镇川,肖鲁伟.介入法治疗股骨头坏死的血管造影术观察[J].中国骨伤,2003,16(11):647~648 |
| 英文格式: | TONG Peijian,HE Weying,JI Weifeng.The image of the digital subtraction angiography (DSA) about the insertion of marrow stem cells based on the dredging operation for the osteonecrosis of the femoral head[J].zhongguo gu shang / China J Orthop Trauma ,2003,16(11):647~648 |
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