实用放射学杂志
實用放射學雜誌
실용방사학잡지
JOURNAL OF PRACTICAL RADIOLOGY
2010年
1期
103-105
,共3页
股骨头缺血性坏死%介入放射学%动脉留置管
股骨頭缺血性壞死%介入放射學%動脈留置管
고골두결혈성배사%개입방사학%동맥류치관
ischemic necrosis of femoral head%interventional radiology%indwelling catheter in artery
目的 探讨动脉留置导管持续药物灌注对股骨头缺血性坏死(III、IV期)的临床疗效. 方法 19例股骨头缺血性坏死(III、IV期)采用Seldinger's技术经股动脉插管超选择留置导管在旋股内、旋股外及闭孔动脉持续动脉内药物灌注治疗. 结果 19例均经临床6～12个月的随访,并采用血管造影与临床症状改善及骨质改变等方面进行疗效判定,临床症状改善率75.8%.63%股骨头坏死区病灶稳定.结论动脉留置导管持续药物灌注治疗股骨头缺血性坏死(III、IV期)有明显疗效.
目的 探討動脈留置導管持續藥物灌註對股骨頭缺血性壞死(III、IV期)的臨床療效. 方法 19例股骨頭缺血性壞死(III、IV期)採用Seldinger's技術經股動脈插管超選擇留置導管在鏇股內、鏇股外及閉孔動脈持續動脈內藥物灌註治療. 結果 19例均經臨床6～12箇月的隨訪,併採用血管造影與臨床癥狀改善及骨質改變等方麵進行療效判定,臨床癥狀改善率75.8%.63%股骨頭壞死區病竈穩定.結論動脈留置導管持續藥物灌註治療股骨頭缺血性壞死(III、IV期)有明顯療效.
목적 탐토동맥류치도관지속약물관주대고골두결혈성배사(III、IV기)적림상료효. 방법 19례고골두결혈성배사(III、IV기)채용Seldinger's기술경고동맥삽관초선택류치도관재선고내、선고외급폐공동맥지속동맥내약물관주치료. 결과 19례균경림상6～12개월적수방,병채용혈관조영여림상증상개선급골질개변등방면진행료효판정,림상증상개선솔75.8%.63%고골두배사구병조은정.결론동맥류치도관지속약물관주치료고골두결혈성배사(III、IV기)유명현료효.
Objective To study the curative effect of ischemic necrosis of femoral head(III ,IV stage)by continuative administration of medicine through indwelling catheter in artery.Methods Thrombolysis in 19 cases with ischemic necrosis of femoral head(III,IV stage) were treated with continuative administration of medicines through indwelling catheter in lateral femoral circumflex and medial femoral circumflex artery and obturator arteriae using Seldinger technique.Results All patients were followed-up for 6～12 months.The curative effect was evaluated by angiography,the clinical symptoms and the change of bone.The ratio of the improvement of clinical symptoms was 75.8%,63% of the necrotic area of femoral head showed hyperplasia.Conclusion By continuative administration of medicine through indwelling catheter in artery in treating ischemic necrosis of femoral head (III ,IV stage) has remarkable therapeutic effect.
