CAJ | 학술논문

目的：观察运用中药内服外敷配合局部微创手术治疗股骨头缺血性坏死的临床疗效。方法采用随机对照设计方法，经髋关节 X 线拍片及 MRI 检查筛选具有股骨头坏死患者，根据 Ficat 分期选取1~2期患者，随机分为治疗组与对照组，以患者进入研究的时间先后顺序为编号进行分组，每组纳入26例，两组共52例。设置对照组仅进行股骨头髓芯钻孔减压（Ficat1期）或股骨头颈部小切口开窗减压植骨术（Ficat2期），中药内服外敷配合局部微创手术治疗为治疗组。观察两者疗效，并对其疗效进行量化统计分析并比较。结果26例治疗组经过综合治疗并三个月随访后，优11例，良10例，可3例，差2例。有效率92.31%；对照组经过单纯手术治疗并随访三个月后，优4例，良7例，可8例，差7例。有效率73.08%。结论中药内服外敷配合局部微创手术治疗股骨头缺血性坏死具有良好的临床疗效。
목적：관찰운용중약내복외부배합국부미창수술치료고골두결혈성배사적림상료효。방법채용수궤대조설계방법，경관관절 X 선박편급 MRI 검사사선구유고골두배사환자，근거 Ficat 분기선취1~2기환자，수궤분위치료조여대조조，이환자진입연구적시간선후순서위편호진행분조，매조납입26례，량조공52례。설치대조조부진행고골두수심찬공감압（Ficat1기）혹고골두경부소절구개창감압식골술（Ficat2기），중약내복외부배합국부미창수술치료위치료조。관찰량자료효，병대기료효진행양화통계분석병비교。결과26례치료조경과종합치료병삼개월수방후，우11례，량10례，가3례，차2례。유효솔92.31%；대조조경과단순수술치료병수방삼개월후，우4례，량7례，가8례，차7례。유효솔73.08%。결론중약내복외부배합국부미창수술치료고골두결혈성배사구유량호적림상료효。
Objective:To investigate the clinical effects of the traditional Chinese medicine(ad usum internum and topical apply)combination with local minimally invasive surgery on avascular necrosis of femoral head. Methods:52 pa-tients who had been diagnosed with avascular necrosis of femoral head through X - ray and MRI were selected for the pres-ent study. These patients which belong to Ⅰ - Ⅱstage on the basis of Ficat Staging,were randomly separated to treatment group and control group,and each group included 26 patients. In control group,the 26 patients were treated with pith drill-ing decompression(FicatⅠ)or decompression bone graft through slotting in femoral neck(Ficat Ⅱ). However,in treat-ment group,the 26 patients were treated with traditional Chinese medicine(ad usum internum and topical apply)combina-tion with local minimally invasive surgery. The clinical effects of the two therapeutic methods were statistical analyzed and contrasted. Results:In the treatment group,after the fellow - up times of three months,11 patients were excellent,10 pa-tients were good,3 patients were general,2 patients were poor,and the effective rate was 92. 31% . In contrast,in the control group,after the fellow - up times of three months,4 patients were excellent,7 patients were good,8 patients were general,7 patients were poor,and the effective rate was 73. 08 % . Conclusion:The therapeutic method of traditional Chi-nese medicine combination with minimally invasive surgery could be extensively applied to treat avascular necrosis of femo-ral head.