[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]
点击复制

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()
分享到：

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:

[1]Zeng YR,He S,Feng WJ,et al.Vascularised greater trochanter bone graft,combined free iliac flap and impaction bone grafting for osteonecrosis of the femoral head[J].Int Orthop,2013,37(3):391-398． [2]冯宾,钱文伟,翁习生,等.髓芯减压+同种异体骨打压植骨治疗早期股骨头坏死的疗效观察 [J].中国医学科学院学报,2015,37(2):133-139. [3]何骏.髓芯减压联合同种异体骨打压植骨治疗早期股骨头坏死的疗效观察[J].医学信息,2018,31(4):93-97. [4]Hernigou P,Flouzat- Lachaniette CH,Delambre J,et al.Osteone crosis repair with bone marrow cell therapies:state of the clinicalart[J].Bone,2015,70(1):102-109. [5]Kang P,Pei F,Shen B,et al.Are the results of multiple drilling and alendronate for osteonecrosis of the femoral head better than those of multiple drilling.A pilot study[J].Joint Bone Spine,2012,79(1):67-72. [6]Tanzer M,Bobyn JD,Krygier JJ,et al.Histopathologic retrieval analysis of clinically failed porous tantalum osteonecrosis implants[J].J Bone Joint Surg(Am),2008,90(6):1282-1289. [7]吴采荣,丁亮华,何双华,等.钽棒治疗早期股骨头坏死的短期临床疗效观察[J].中国骨与关节损伤杂志,2010,25(8):717-719. [8]Shuler MS,Rooks MD,Roberson JR.Porous tantalum implant in early osteonecrosis of the hip:preliminary report on operative, survival,and outcomes results[J].J Arthroplasty,2007,22(1):26-31. [9]强廷会,周新立,牟欢,等.髓芯减压并钽金属棒植入、髓芯减压并植骨术在股骨头坏死保头治疗中的短期疗效比较[J].广西医科大学学报,2018,35(4):513-517.

相似文献/References:

[1]何 骏.髓芯减压联合同种异体骨打压植骨治疗早期股骨头坏死的疗效观察[J].医学信息,2018,31(04):93.[doi:10.3969/j.issn.1006-1959.2018.04.030]
　HE Jun.Curative Effect of Bone Marrow Decompression Combined with Allogeneic Bone on the Treatment of Early Femoral Head Necrosis[J].Medical Information,2018,31(20):93.[doi:10.3969/j.issn.1006-1959.2018.04.030]
[2]朱成祥,赵其纯.关节镜下LARS韧带重建后交叉韧带的早期临床疗效分析[J].医学信息,2018,31(21):97.[doi:10.3969/j.issn.1006-1959.2018.21.026]
　ZHU Cheng-xiang,ZHAO Qi-chun.Analysis of the Early Clinical Effect of Arthroscopic Reconstruction of the Posterior Cruciate Ligament with LARS Ligament[J].Medical Information,2018,31(20):97.[doi:10.3969/j.issn.1006-1959.2018.21.026]
[3]权 冬,曾钦梅,张 维,等.关节镜下射频手术治疗军事训练相关外侧型弹响髋的临床研究[J].医学信息,2019,32(03):107.[doi:10.3969/j.issn.1006-1959.2019.03.033]
　QUAN Dong,ZENG Qin-mei,ZHANG Wei,et al.Clinical Study of Arthroscopic Radiofrequency Ablation forMilitary Training Related External Snapping Hip[J].Medical Information,2019,32(20):107.[doi:10.3969/j.issn.1006-1959.2019.03.033]
[4]高砚文,徐 丛,吕永明.关节镜手术与保守治疗青年人群初次肩关节前脱位的临床疗效[J].医学信息,2018,31(22):73.[doi:10.3969/j.issn.1006-1959.2018.22.020]
　GAO Yan-wen,XU Cong,LV Yong-ming.Clinical Efficacy of Arthroscopic Surgery and Conservative Treatment of Initial Anterior Shoulder Dislocation in Young People[J].Medical Information,2018,31(20):73.[doi:10.3969/j.issn.1006-1959.2018.22.020]
[5]顾长源,刘 锌,谢 榆.1例局限性游走性骨质疏松症合并软骨下骨折病例报道[J].医学信息,2018,31(24):183.[doi:10.3969/j.issn.1006-1959.2018.24.058]
　GU Chang-yuan,LIU Xin,XIE Yu.A Case Report of Regional Migratory Osteoporosis Complicated with Subchondral Fracture[J].Medical Information,2018,31(20):183.[doi:10.3969/j.issn.1006-1959.2018.24.058]
[6]穆 亮,张志宏,董恒纲.关节镜治疗膝关节盘状半月板损伤患者对其膝关节功能及生活质量的影响[J].医学信息,2022,35(14):92.[doi:10.3969/j.issn.1006-1959.2022.14.021]
　MU Liang,ZHANG Zhi-hong,DONG Heng-gang.Effect of Arthroscopic Treatment on Knee Joint Function and Quality of Life in Patients with Discoid Meniscus Injury of Knee Joint[J].Medical Information,2022,35(20):92.[doi:10.3969/j.issn.1006-1959.2022.14.021]
[7]吴旭辉,罗林峰,吴江林,等.关节镜下内侧半月板成形术治疗中老年内侧半月板后角根部断裂的疗效及其对膝关节功能的影响[J].医学信息,2022,35(15):51.[doi:10.3969/j.issn.1006-1959.2022.15.010]
　WU Xu-hui,LUO Lin-feng,WU Jiang-lin,et al.Effect of Arthroscopic Medial Meniscus Angioplasty in the Treatment of Middle-aged and Elderly Medial Meniscus Posterior Horn Root Fracture and its Effect on Knee Joint Function[J].Medical Information,2022,35(20):51.[doi:10.3969/j.issn.1006-1959.2022.15.010]
[8]杨建水.肩袖修复术后再撕裂相关因素的研究[J].医学信息,2020,33(01):46.[doi:10.3969/j.issn.1006-1959.2020.01.016]
　YANG Jian-shui.Study on the Related Factors of Re-tear After Rotator Cuff Repair[J].Medical Information,2020,33(20):46.[doi:10.3969/j.issn.1006-1959.2020.01.016]
[9]吴常杰,李英祥,闫帮楷,等.关节镜下治疗原发性冻结肩的疗效及并发症风险分析[J].医学信息,2021,34(22):1.[doi:10.3969/j.issn.1006-1959.2021.22.001]
　WU Chang-jie,LI Ying-xiang,YAN Bang-kai,et al.Effect of Arthroscopic Treatment of Primary Frozen Shoulder and Risk of Complications[J].Medical Information,2021,34(20):1.[doi:10.3969/j.issn.1006-1959.2021.22.001]
[10]曾学珠,范 程,汤 波.关节镜下有限松解结合麻醉下推拿治疗顽固性冻结肩的疗效观察[J].医学信息,2021,34(22):4.[doi:10.3969/j.issn.1006-1959.2021.22.002]
　ZENG Xue-zhu,FAN Cheng,TANG Bo.Clinical Efficacy of Arthroscopic Limited Release and Manipulation Under Anesthesia on Refractory Frozen Shoulder[J].Medical Information,2021,34(20):4.[doi:10.3969/j.issn.1006-1959.2021.22.002]

更新日期/Last Update: 2018-11-09