中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
33期
3-5,6
,共4页
早期%股骨头坏死%细针%钻孔减压术
早期%股骨頭壞死%細針%鑽孔減壓術
조기%고골두배사%세침%찬공감압술
Early stage%Osteonecrosis of femoral head%Thin needle%Drilling decompression
目的：探讨研究细针钻孔减压术治疗早期股骨头坏死的临床治疗效果。方法：选取本院骨科2009年3月-2011年3月收治的股骨头坏死患者76例，按照国际骨循环研究会关于股骨头坏死分期标准（ARCO分期），其中Ⅰ期40例46髋，Ⅱ期36例42髋；按病因分类：酒精性36例41髋，激素性27例30髋，酒精加激素性13例17髋。按入院先后顺序将患者分为观察组和对照组，分别采取细针钻孔减压术治疗和保守治疗，观察分析患者Harris评分、并发症以及临床疗效的相关情况。结果：观察组患者治疗后的Harris评分明显高于治疗前，且比较差异有统计学意义（P<0.05）。观察组Ⅰ期患者中ⅠA、ⅠB和ⅠC临床治疗的优良率分别为100%、90.0%和66.7%，Ⅱ期患者中ⅡA、ⅡB和ⅡC临床治疗的优良率分别为71.4%、44.4%和33.3%。Ⅰ期患者临床治疗效果明显优于Ⅱ期，且观察组治疗的优良率明显高于对照组，比较差异均有统计学意义（P<0.05）。结论：对于早期股骨头坏死患者而言，应用细针钻孔减压术治疗的临床疗效显著，且股骨头坏死分期越早治疗的效果越好。
目的：探討研究細針鑽孔減壓術治療早期股骨頭壞死的臨床治療效果。方法：選取本院骨科2009年3月-2011年3月收治的股骨頭壞死患者76例，按照國際骨循環研究會關于股骨頭壞死分期標準（ARCO分期），其中Ⅰ期40例46髖，Ⅱ期36例42髖；按病因分類：酒精性36例41髖，激素性27例30髖，酒精加激素性13例17髖。按入院先後順序將患者分為觀察組和對照組，分彆採取細針鑽孔減壓術治療和保守治療，觀察分析患者Harris評分、併髮癥以及臨床療效的相關情況。結果：觀察組患者治療後的Harris評分明顯高于治療前，且比較差異有統計學意義（P<0.05）。觀察組Ⅰ期患者中ⅠA、ⅠB和ⅠC臨床治療的優良率分彆為100%、90.0%和66.7%，Ⅱ期患者中ⅡA、ⅡB和ⅡC臨床治療的優良率分彆為71.4%、44.4%和33.3%。Ⅰ期患者臨床治療效果明顯優于Ⅱ期，且觀察組治療的優良率明顯高于對照組，比較差異均有統計學意義（P<0.05）。結論：對于早期股骨頭壞死患者而言，應用細針鑽孔減壓術治療的臨床療效顯著，且股骨頭壞死分期越早治療的效果越好。
목적：탐토연구세침찬공감압술치료조기고골두배사적림상치료효과。방법：선취본원골과2009년3월-2011년3월수치적고골두배사환자76례，안조국제골순배연구회관우고골두배사분기표준（ARCO분기），기중Ⅰ기40례46관，Ⅱ기36례42관；안병인분류：주정성36례41관，격소성27례30관，주정가격소성13례17관。안입원선후순서장환자분위관찰조화대조조，분별채취세침찬공감압술치료화보수치료，관찰분석환자Harris평분、병발증이급림상료효적상관정황。결과：관찰조환자치료후적Harris평분명현고우치료전，차비교차이유통계학의의（P<0.05）。관찰조Ⅰ기환자중ⅠA、ⅠB화ⅠC림상치료적우량솔분별위100%、90.0%화66.7%，Ⅱ기환자중ⅡA、ⅡB화ⅡC림상치료적우량솔분별위71.4%、44.4%화33.3%。Ⅰ기환자림상치료효과명현우우Ⅱ기，차관찰조치료적우량솔명현고우대조조，비교차이균유통계학의의（P<0.05）。결론：대우조기고골두배사환자이언，응용세침찬공감압술치료적림상료효현저，차고골두배사분기월조치료적효과월호。
Objective:To investigate the clinical therapeutic effect of thin needle drilling decompression for the early osteonecrosis of femoral head.Method: 76 patients with osteonecrosis of femoral head were selected in our hospital from 2009 March to 2011 March. According to association research circulation osseous(ARCO) classifying, 40 patients with 46 hips and 36 patients with 42 hips were in stage Ⅰ and Ⅱ. According to classifying from etiological factors, the alcohol-induced was in 36 patients with 41 hips, steroid-induced was in 27 patients with 30 hips, alcohol and steroid-induced was in 13 patients with 17 hips. The patients were divided into observation group and control group according to the order of admission, two groups were respectively treated with thin needle drilling decompression and conservative treatment. The Harris Score and complications and clinical efficacy were observed and analyzed.Result: The Harris Score of all the patients was significantly higher after treatment than that before treatment, and the difference was statistically significant (P<0.05). The excellent and good results in stage ⅠA, ⅠB and ⅠC was obtained 100%, 90.0%, and 66.7% respectively, in stage ⅡA, ⅡB and ⅡC was 71.4%, 44.4%, and 33.3%, the clinical therapeutic effect was better in stage Ⅰ than in stage Ⅱ, and the clinical therapeutic effect was better in the observation group than in the control group, the difference was statistically significant (P<0.05).Conclusion: The clinical therapeutic effect of thin needle drilling decompression for the early osteonecrosis of femoral head is very significant, and the earlier, the better.
