| 中心减压自体骨与BMP植入治疗缺血性股骨头坏死 |
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Received:April 28, 2005
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| 作者 | Author | 单位 | Unit | E-Mail |
| 赵建彬 |
ZHAO Jian-bin |
聊城市人民医院,山东聊城252000 |
The People’s Hospital of Liaocheng City,Liaocheng 252000,Shandong,China |
zjb1962@sohu.com |
| 张洪磊 |
ZHANG Hong-lei |
聊城市人民医院,山东聊城252000 |
The People’s Hospital of Liaocheng City,Liaocheng 252000,Shandong,China |
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| 魏鑫 |
WEI Xin |
聊城市人民医院,山东聊城252000 |
The People’s Hospital of Liaocheng City,Liaocheng 252000,Shandong,China |
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| 期刊信息：《中国骨伤》2006年19卷，第2期，第83-84页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨中心减压自体骨与骨形态发生蛋白（BMP）植入治疗缺血性股骨头坏死的临床疗效。
方法:缺血性股骨头坏死36例41髋,男25例29髋,女11例12髋;年龄31~69岁,平均45.5岁。按Ficat分期0期3髋、Ⅰ期19髋、Ⅱ期13髋、Ⅲ期6髋,行中心减压自体骨与BMP植入术。
结果:36例患者均获随访,随访时间2~63个月,平均41个月。以广州中医药大学附属医院提出的疗效标准百分法评价治疗效果,优21例,良8例,可4例,差3例。
结论:此术式可有效降低骨内压,改善股骨头血供,植入自体松质骨对关节软骨起到有效支撑防止塌陷的作用。BMP诱发组织修复,加快了股骨头骨质修复的过程,适于Ficat分期0~Ⅱ期的早期患者。 |
| [关键词]:股骨头缺血性坏死 减压 骨形态发生蛋白 骨移植 |
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| Analysis of center decompression and autogenous bone and BMP implantation for treating ischemial necrosis of femoral head |
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Abstract:
Objective:To explore the therapeutic effect of center decompression and autogenous bone and BMP implantation in treating ischemic necrosis of femoral head(INFH).
Methods:Forty-one hips in 36 patients with ischemic necrosis of femoral head were included 29 hips of 25 female and 12 hips of 11 male,and the average age of all the patients was 45.5 years ranging from 31 to 69 years.According to Ficat Staging system,3,19,13 and 6 hips were at 0,Ⅰ,Ⅱ and Ⅲ stages respectively.All patients were treated by center decompression and autogenous bone and BMP implantation.
Results:All patients were followed up for 2 to 63 months (average 41 months).According to evaluating standard of curative effect set by the Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine,the excellent result was achieved in 21 case,good in 8 cases,fair in 4 cases and poor in 3 cases.
Conclusion:The method of center decompression and autogenous bone and BMP implantation can decrease bone pressure,improve blood supply to femoral head.The implantation with autologous spongy bone can support effectively articular cartilage and prevent collapse.BMP can induce tissue repair,speed up the bone reconstruction of femoral head.This method is effective in the treatment of the cases at Ficat Staging 0-Ⅱ. |
| KEYWORDS:Avascular necrosis of femur head Decompression Bone morphogenetic proteins Bone transplantation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 赵建彬,张洪磊,魏鑫.中心减压自体骨与BMP植入治疗缺血性股骨头坏死[J].中国骨伤,2006,19(2):83~84 |
| 英文格式: | ZHAO Jian-bin,ZHANG Hong-lei,WEI Xin.Analysis of center decompression and autogenous bone and BMP implantation for treating ischemial necrosis of femoral head[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(2):83~84 |
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