|
|
Effect and Prognosis of Cannulated Screw Decompression Combined with Interventional Therapy on Early Avascular Necrosis of Femoral Head |
SUN Zewen, et al |
Weifang Medical University, Shandong Weifang 261000, China |
|
|
Abstract Objective: To investigate the efficacy of cannulated screws combined with interventional therapy in the treatment of aseptic necrosis of femoral head. Method: 65 early aseptic necrosis of femoral head in our hospital were selected and randomly divided into the control group and the experiment group.34 cases in the experimental group was treated with cannulated screws combined with interventional therapy; 31 cases in the control group were treatedwith interventional therapy. 6 months after surgery, two groups of patients were using questionnaires, including the evaluation of patients with hip joint function recovery, the pain is better, and improve the quality of life score indexes such as blood flow distribution were compared and analysis weather. Results: The total effective rate of the experimental group was higher than that of the control group, and the difference was statistically significant (χ2=5.795,P<0.05). The improvement of blood flow in the femoral head of the experimental group was higher than that of the control group, and the difference was statistically significant (χ2=16.277,P<0.05) .After treatment, the two groups of patients with Harris score and limb motor function score were increased. Compared with the control group, the experimental group Harris score and limb motor function score was higher, the difference was statistically significant (P<0.05);After treatment, the quality of life score of the experimental group was higher, the difference was statistically significant (P<0.05). Conclusion: The early avascular necrosis of the femoral head were treated with cannulated screw, decompression combined with interventional therapy, can make the femoral head blood supply has been effectively improved, and increase the support function of the weight-bearing area of the femoral head, improve joint function, suitable for application.
|
|
|
|
|
[1] 周勇,徐祖健,柴天朋,等.非创伤性股骨头坏死骨髓水肿与磁共振分期的关系及骨髓水肿发生机制的初步研究[J].中医正骨,2016,28(8):8~12. [2] 姚晨,沈计荣,杜斌,等.髋关节外科脱位死骨清理打压植骨治疗ⅢA、ⅢB期股骨头无菌性坏死[J].中华解剖与临床杂志,2016,21(2):133~136. [3] 刘希伟,马建兵,段虹昊,等.空心钉减压联合介入治疗在早期股骨头无菌性坏死的临床应用[J].实用骨科杂志,2017,23(1):73~77. [4] 肖龙华,张祖炜,康清华,等.自体骨打压植骨在生物型人工髋关节初次置换术中的应用效果[J].中国当代医药,2016,23(7):92~94. [5] 黄光海,李永奇,姚杰.股骨头坏死介入治疗及临床分析(附138例报告)[J].医学影像学杂志,2016,26(6):1092~1094. [6] 熊明月,刘立强,石辉辉.钻孔减压治疗塌陷期股骨头坏死的临床疗效及随访分析[J].社区医学杂志,2016,14(3):62~63. [7] 余远曙.CT与MRI对儿童早期股骨头骨骺缺血性坏死的诊断价值比较[J].中国乡村医药,2016,23(22):55. [8] 王傲,王金成.激素性股骨头坏死发病机制的研究进展[J].中国骨与关节损伤杂志,2016,31(4):445~446. [9] 刘荣.无菌性股骨头坏死经髋关节表面置换治疗的护理体会[J].世界最新医学信息文摘,2016,16(54):225~226. [10] 唐贤钧.股骨头缺血性坏死患者采用MRI、螺旋CT以及DR三种检测方式对其分期诊断效果的对比分析[J].中国CT和MRI杂志,2016,14(12):130~132. [11] 董帅,蔡喜雨.改良吻合血管腓骨移植治疗早期股骨头坏死[J].中国继续医学教育,2016,8(28):54~55. [12] 覃晓峰,叶松林,柯家宝.吻合血管游离腓骨移植治疗早期股骨头缺血坏死效果研究[J].中国伤残医学,2016,24(9):48~49. [13] 何云峰.人工髋关节置换术治疗老年股骨头无菌性坏死的疗效分析[J].中国老年保健医学,2016,14(3):76~77. [14] 冯居平.活骨汤联合介入和西药治疗早期股骨头坏死50例[J].中医研究,2017,30(1):29~31. [15] 崔镇海,杨洲,庄世伟,等.手法配合口服中药治疗股骨头坏死[J].吉林中医药,2016,36(12):1267~1270. [16] 刘胜元,黄建民,马建军,等.不同手术方式的髋关节置换术对患者的治疗效果及生活质量的影响分析[J].中国伤残医学,2016,24(16):30~31. [17] 李明玉.早期镇痛联合阶梯康复训练对人工膝关节置换术后患者关节功能的影响评价[J].中国实用医药,2016,11(31):190~191. [18] 闫丹舟.PFNA与PFN内固定治疗老年股骨粗隆间骨折手术指标、血液相关指标及髋关节Harris评分的对比观察[J].临床和实验医学杂志,2016,15(21):2105~2107. |
|
|
|