中国医师杂志
中國醫師雜誌
중국의사잡지
JOURNAL OF CHINESE PHYSICIAN
2010年
12期
1608-1611
,共4页
郭林%赵德伟%甄瑞鑫%田丰德%杨磊%王本杰%崔大平%赵杰%窦亚栋
郭林%趙德偉%甄瑞鑫%田豐德%楊磊%王本傑%崔大平%趙傑%竇亞棟
곽림%조덕위%견서흠%전봉덕%양뢰%왕본걸%최대평%조걸%두아동
外科手术,计算机辅助%减压术,外科/方法%骨髓移植%干细胞移植%股骨头坏死/外科学
外科手術,計算機輔助%減壓術,外科/方法%骨髓移植%榦細胞移植%股骨頭壞死/外科學
외과수술,계산궤보조%감압술,외과/방법%골수이식%간세포이식%고골두배사/외과학
Surgery,computer-assisted%Decompression,surgical/MT%Bone marrow transplantation%Stem cell transplantation%Femur head necrosis/SU
目的 评估计算机导航下髓芯减压加骨髓基质干细胞移植方法治疗股骨头坏死的安全性及精确性,并指导临床工作.方法 采用计算机导航下髓芯减压加骨髓基质干细胞移植方法治疗的36例ARCO Ⅰ-Ⅱ期股骨头坏死患者进行回顾性研究,统计手术时间、出血量、放射线照射时间,术后6周Harris评分及影像学评估,结果与常规髓芯减压加骨髓基质干细胞移植进行对比分析.结果 两组患者在术后影像学、手术时间、出血量方面差异无统计学意义(P＞0.05);而在放射线照射时间及术后6周Harris评分分别为[(4.1±1.8)s,(13.6±3.2)s,P＜0.01]和(89.4±10.1,83.1±10.5,P＜0.01),差异有统计学意义(P＜0.01).结论 计算机导航下髓芯减压加骨髓基质干细胞移植方法治疗早期股骨头坏死具有良好的安全性及精确性.
目的 評估計算機導航下髓芯減壓加骨髓基質榦細胞移植方法治療股骨頭壞死的安全性及精確性,併指導臨床工作.方法 採用計算機導航下髓芯減壓加骨髓基質榦細胞移植方法治療的36例ARCO Ⅰ-Ⅱ期股骨頭壞死患者進行迴顧性研究,統計手術時間、齣血量、放射線照射時間,術後6週Harris評分及影像學評估,結果與常規髓芯減壓加骨髓基質榦細胞移植進行對比分析.結果 兩組患者在術後影像學、手術時間、齣血量方麵差異無統計學意義(P＞0.05);而在放射線照射時間及術後6週Harris評分分彆為[(4.1±1.8)s,(13.6±3.2)s,P＜0.01]和(89.4±10.1,83.1±10.5,P＜0.01),差異有統計學意義(P＜0.01).結論 計算機導航下髓芯減壓加骨髓基質榦細胞移植方法治療早期股骨頭壞死具有良好的安全性及精確性.
목적 평고계산궤도항하수심감압가골수기질간세포이식방법치료고골두배사적안전성급정학성,병지도림상공작.방법 채용계산궤도항하수심감압가골수기질간세포이식방법치료적36례ARCO Ⅰ-Ⅱ기고골두배사환자진행회고성연구,통계수술시간、출혈량、방사선조사시간,술후6주Harris평분급영상학평고,결과여상규수심감압가골수기질간세포이식진행대비분석.결과 량조환자재술후영상학、수술시간、출혈량방면차이무통계학의의(P＞0.05);이재방사선조사시간급술후6주Harris평분분별위[(4.1±1.8)s,(13.6±3.2)s,P＜0.01]화(89.4±10.1,83.1±10.5,P＜0.01),차이유통계학의의(P＜0.01).결론 계산궤도항하수심감압가골수기질간세포이식방법치료조기고골두배사구유량호적안전성급정학성.
Objective To evaluate the safety and accuracy in treating the avascular necrosis of femoral head (ANFH) with computer navigated core decompression and bone marrow stream cell transportation and to guide the clinical treatment. Method Within the prospective study, 36 patients suffered ANFH (ARCO Ⅰ - Ⅱ ) and treated with computer navigated core decompression and bone marrow stream cell transportation were studied. The operating time, blood loss, x ray exposure, preoperative and 6 week postoperative Harris score and imaging evaluation were recorded and compared with conventional core decompression and bone marrow stream cell transportation. Results There were no obvious difference between the two groups in imaging evaluation, operating time and blood loss ( P ＞ 0. 05 ). There were statistical difference between the two groups in x ray exposure and 6 week postoperative Harris score [ (4. 1 ± 1.8 ) s,(13.6±3.2)s,P ＜0. 01,and89.4±10. 1,83.1±10. 5, P ＜0.01]. Conclusion Computer navigated core decompression and bone marrow stream cell transportation have good security and precision in treating early stage ANFH.
