[1]仲鹤鹤,杨 晋,刘 毅.关节镜辅助下髓芯减压联合钽棒置入治疗早期股骨头坏死的研究[J].医学信息,2018,31(20):186-188.[doi:10.3969/j.issn.1006-1959.2018.20.059]
　ZHONG He-he,YANG Jin,LIU Yi.Treatment of Early Femoral Head Necrosis by Arthroscopic Core Decompression Combined with Tantalum Rod Implantation[J].Medical Information,2018,31(20):186-188.[doi:10.3969/j.issn.1006-1959.2018.20.059]
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关节镜辅助下髓芯减压联合钽棒置入治疗早期股骨头坏死的研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年20期
页码:
186-188
栏目:
出版日期:
2018-10-15

文章信息/Info

Title:
Treatment of Early Femoral Head Necrosis by Arthroscopic Core Decompression Combined with Tantalum Rod Implantation
文章编号:
1006-1959（2018）20-0186-03
作者:
仲鹤鹤; 杨 晋; 刘 毅
遵义医科大学附属医院骨科，贵州 遵义 563100
Author(s):
ZHONG He-he; YANG Jin; LIU Yi
Department of Orthopaedics,Affiliated Hospital of Zunyi Medical University,Zunyi 563100,Guizhou,China
关键词:
关节镜; 髓芯减压; 股骨头坏死; 钽棒
Keywords:
Arthroscopy; Core decompression; Femoral head necrosis; Tantalum rod
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2018.20.059
文献标志码:
B
摘要:
目的 探讨关节镜辅助下髓芯减压联合钽棒植入对成人早期股骨头缺血坏死治疗的近期疗效。方法 选择2016年1月~2017年2月我院收治的早期股骨头坏死患者31例，髋国际骨循环研究协会分期，Ⅰ期13例、Ⅱ期18例，采用关节镜辅助下股骨头髓芯减压联合钽棒植入进行治疗，评估患者手术前后进行Harris评分及影像学表现。结果 28例患者获得随访，平均随访（20.50±2.12）个月，末次随访影像学检查5例发生了股骨头塌陷或关节间隙的变窄，余病例未见病变进展。髋关节Harris评分由术前的（52.60±5.50）分提高到术后的（84.40±9.90）分，差异具有统计学意义（P＜0.05）。结论 关节镜辅助下股骨头髓芯减压联合钽棒植入治疗成人早期股骨坏死，可有效改善患者髋关节功能，近期疗效满意。
Abstract:
Objective To investigate the short-term effect of arthroscopic core decompression combined with tantalum rod implantation in the treatment of early avascular necrosis of femoral head in adults.Methods 31 patients with early femoral head necrosis admitted to our hospital from January 2016 to February 2017 were enrolled.The hip international bone circulation research association was staged, 13 cases in stage I and 18 cases in stage II.The femoral head core decompression combined with tantalum rod implantation was used to evaluate the Harris score and imaging findings before and after operation.Results 28 patients were followed up for a mean follow-up(20.50±2.12)months.In the last follow-up imaging examination,5 patients developed a femoral head collapse or a narrowing of the joint space.No lesion progression was observed in the remaining cases.The hip Harris score increased from preoperative(52.60±5.50)points to postoperative(84.40±9.90)points,the difference was statistically significant(P<0.05).Conclusion Arthroscopic core decompression of femoral head combined with tantalum rod implantation in the treatment of early femoral necrosis in adults can effectively improve the hip function of patients with satisfactory short-term results.

参考文献/References:

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更新日期/Last Update: 2018-11-09