CAJ | 학술논문

目的观察骨髓内减压与动脉脉冲加压注药对成人股骨头缺血坏死疗效的影响。方法应用ZC-Ⅰ型椎间盘切割器骨钻对82例成人股骨头缺血坏死，进行骨减压，并介入靶血管脉冲式五联药物灌注，进行联合治疗。结果通过12～48个月的随访观察，关节疼痛缓解率，关节活动改善率，头颈区新生血管、新生骨改变均有显著变化。结论该治疗方法安全可靠，疗效优于单纯介入药物灌注。
목적관찰골수내감압여동맥맥충가압주약대성인고골두결혈배사료효적영향。방법응용ZC-Ⅰ형추간반절할기골찬대82례성인고골두결혈배사，진행골감압，병개입파혈관맥충식오련약물관주，진행연합치료。결과통과12～48개월적수방관찰，관절동통완해솔，관절활동개선솔，두경구신생혈관、신생골개변균유현저변화。결론해치료방법안전가고，료효우우단순개입약물관주。
Objective　To observe the curative effect of adult ischemic necrosis of femoral head by intramedullary decompression and arterial pulse pressor infusion.Methods　82 patients with ischemic necrosis of femoral head were treated in the combined treatment of percutaneous intramedully decompression and pulse pressor five medicine combined infusion in target vessels using ZC-Ⅰ-discome.Results　By follow-up for 12～48 months,the painful in hip joint was alleviated and joint movement was also improved.The regenerative vessels and bone in femoral head and neek were obvious.Conclusion　This therapcutic methods is safe and superior to single interventional medicine treatment for ischemic necrosis of femoral head.