| 引用本文: |
陆小龙； 肖清明； 肖四旺； 王勇；.髓芯减压植骨内支撑术结合中药对早期股骨头坏死的临床观察[J].湖南中医药大学学报,2012,32(9):63-66[点击复制] |
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| 髓芯减压植骨内支撑术结合中药对早期股骨头坏死的临床观察 |
| 陆小龙；肖清明；肖四旺；王勇； |
| (湖南中医药大学第二附属医院骨伤科) |
| 摘要: |
| 目的探讨髓芯减压植骨内支撑术结合中药对早期股骨头坏死的临床
疗效。方法将24例(34髋)Ⅰ、Ⅱ期股骨头坏死患者随机分成治疗组和对照组
各12例,2组均采用髓芯减压植骨内支撑术治疗,治疗组同时结合中药治疗,疗
程6个月。观察两组患者治疗前后的Harris积分、影像评分、疗效总积分等指
标。结果治疗组总有效率为94.4%,对照组总有效率87.5%,治疗组明显高于对
照组(P﹤0.05)。治疗后治疗组Harris评分、影像学评分、疗效总评分较治疗
前均明显增加(P﹤0.01),与对照组治疗后比较,差异有统计学意义(P﹤0.05)
。结论髓芯减压植骨内支撑术结合中药治疗早期股骨头坏死较单纯髓芯减压
植骨内支撑术治疗能较好地减轻甚至消除患髋疼痛、改善痛髋活动度和下肢
生理功能,促进了骨组织再生及修复,加快了患者的康复,值得临床推广。 |
| 关键词: 股骨头坏死 髓芯减压植骨内支撑术 补肾活血汤 |
| DOI： |
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| 基金项目: |
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| Clinical observation on early necrosis of the femoral head treated with method of core decompression and internal support bone grafting combined with Traditional Chinese Medicine |
| LU Xiao-long1,XIAO Qing-ming2,XIAO Si-wang1,WANG Yong1 |
| ((1.Second Affiliated Hospital,TCM University of
Hunan,Changsha,Hunan 410005,China; 2.TCM University of
Hunan,Changsha,Hunan 410007,China)) |
| Abstract: |
| [Abstract] Objective To expl<)二[he clinical effects of core
decompression and internal sup-
port lx>ne grafting combined with Traditional Chinese
Medicine on early necrosis of the
femoral head. Methods 24 patients with early necrosis of the
femoral head were randomly divided
into treatment group and control group, with 12 cases in
each group. 2 groups were both treated
with core decompression and internal support bone grafting, and
treatment group was treated with
TCM therapy at the same time. The treatment course was 6 months.
Harris Score, image score and
total efficiency score were observed before and after treatment.
Results After treatment, total effec-
tive rate was 94.4% in treatment group which was much higher than
87.5% in control group (P<
0.05).After treatment, Harris Scc)二，image score and total
efficiency sc<)二were increased in treat-
ment group (P<0.01);compared with control group, the differences
had statistic significance (P<
0.05).Conclusion Compared with the method of core
decompression and internal support
bone grafting, the method of core decompression and internal
support bone grafting combined with
TCM has better effects in treating early necrosis of the
femoral head. The integrated method can
release the pain of pelvis, improve the flexibility of
pelvis and physical functions of lower limb,
promote repairing and regeneration of bone tissue, and therefore
promote the recovering. It is worth
being applied in clinic. |
| Key words: necrosis of the femoral head 〔:()二,
Iecompression and internal support
bone grafting Bushen Huoxue Decoction |
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