ESWT治疗股骨头缺血性坏死的疗效分析.pdf

·论    著· 2 0 1 5 年 1 月 第 5 卷 第 1 期 ESWT治疗股骨头缺血性坏死的疗效分析 1△ 2 成  毅     李  平       1. 山西医科大学第一临床一系，山西太原 030000；2. 山西医科大学第一附属医院骨科，山西太原 030000 [摘要] 目的 股骨头缺血性坏死冲击波治疗疗法临床疗效观察。 方法 回顾性分析我院 2010 年 6 月～ 2013 年 12 月通过影像学诊断的股骨头缺血性坏死 26 例（30 髋）的患者进行体外冲击波治疗，本研究为了评估 冲击波对股骨头缺血坏死的患者疗效，根据患侧髋关节 Harris 评分、“4”字试验（A → B）评分分别把 30 髋 患者以治疗前、治疗后第 3、6、12 个月分成四组，观察体外冲击波在治疗股骨头缺血性坏死方面的疗效；黄 2 克勤疗效评分通过多个样本率的 x 检验，比较各期冲击波疗法治疗股骨头缺血坏死的有效率是否有差别。 结果 对于早期的股骨头缺血性坏死的患者早期治疗效果明显优于中 、晚期的患者。 结论 早期运用体外冲 击波疗法可延缓股骨头缺血坏死、促进修复重建骨组织结构及改善关节功能。 [关键词] 体外冲击波；股骨头缺血坏死；研究进展 [中图分类号] R681.8      [文献标识码] A      [文章编号] 2095-0616（2015）01-20-04 Analysis of therapeutic effect of ESWT treatment of avascular necrosis of femoral head 1 2 CHENG  Yi    LI  Ping 1.Department of Surgery, First Clinical Medical College of Shanxi Medical University, Taiyuan 030000, China; 2.Department of Orthopaedics, First Hospital of Shanxi Medical University, Taiyuan 030000, China [Abstract] Objective To observe the clinical effect of extracorporeal shock wave therapy (ESWT) in the treatment of avascular necrosis of femoral head. Methods 26 patients(18 hips) with avascular necrosis of femoral head who were treated with ESWT through the imaging diagnosis in our hospital from June 2010 to December 2013 were retrospectively analyzed. To evaluate and observe the therapeutic effect of patients with avascular necrosis of femoral head, who were treated with ESWT, and were divided into four groups of pre-treatment, post-treatment of the 3rd month, the 6th month and the 12th month, based on Harris scores of hip joint and Gaenslens