引用本文:单晓威,张晨露,马 航,王永胜,王久清,王玮琳,郭庆功.新型七孔分区减压法治疗成人早期股骨头坏死的疗效观察[J].中国临床新医学,2018,11(9):902-905.
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新型七孔分区减压法治疗成人早期股骨头坏死的疗效观察
单晓威,张晨露,马 航,王永胜,王久清,王玮琳,郭庆功
475000 开封,河南大学第一附属医院骨一科(单晓威,马 航,王永胜,王久清,王玮琳,郭庆功),老年神经内科(张晨露)
摘要:
[摘要] 目的 探讨分析新型七孔分区减压法对成人早期股骨头坏死的临床疗效。方法 采用前瞻性病例对照分析方法,选取2015-05~2016-10收治该院的成人早期股骨头坏死患者55例,Ⅰ期(ARCO标准)26例30髋,Ⅱ期29例35髋。采用新型七孔分区减压治疗者(新型组)20髋,传统三孔减压治疗(传统组)25髋,药物保守治疗者(保守组)20髋。随访1年,评估并比较各组临床疗效。结果 三组患者均完成治疗并获得有效随访。至末次随访,新型组、传统组及保守组Harris评分均较治疗前获得明显改善,差异有统计学意义(P<0.001),且新型组Harris评分优于传统组及保守组,差异有统计学意义(P<0.001)。末次随访X线检查,新型组股骨头塌陷发生率低于传统组及保守组,差异有统计学意义(P<0.05)。结论 新型七孔分区减压法治疗成年人早期股骨头坏死具有明显优势,有助于改善髋关节功能,延缓股骨头坏死塌陷。
关键词:  股骨头坏死  早期  七孔分区法  减压法
DOI:10.3969/j.issn.1674-3806.2018.09.15
分类号:R 681.8
基金项目:
Clinical observation on treatment of early osteonecrosis of the femeral head in adults by a new seven-hole decompression method
SHAN Xiao-wei, ZHANG Chen-lu, MA Hang, et al.
The First Department of Orthopedics, the First Affiliated Hospital of Henan University, Kaifeng 475000, China
Abstract:
[Abstract] Objective To investigate the clinical effect of a new seven-hole decompression method on treatment of early osteonecrosis of the femeral head in adults. Methods A prospective case-control study was performed. 55 patients with early osteonecrosis of the femoral head were treated in our hospital from May 2015 to October 2016, including 26 patients(30 hips) with stage I(ARCO standard) and 29 patients(35 hips) with stage Ⅱ. The new seven-hole decompression was performed on 20 hips(the new type group) and traditional three-hole decompression therapy on 25 hips(the traditional group) and conservative medication on 20 hips(the conservative group). All the patients were followed up for 1 year to evaluate the