30例II期股骨头坏死保髋疗效欠佳相关因素研究.docVIP

30例II期股骨头坏死保髋疗效欠佳相关因素研究摘要：目的：探讨影响II期股骨头坏死保髋疗效欠佳的相关因素，为临床治疗及预防提供理论依据和应用指导。方法：收集30例II期股骨头坏死患者，采用回顾性研究方法，采集病例资料，分析数据。结果 随访结果发现30例II期股骨头坏死，平均年龄42.36±11.09岁；平均体重指数22.56±1.92；平均病程4.10±2.09；性别男性占20(66.7%)，女性占10(33.3%)；职业非体力劳动占13(40.3%)，体力劳动占17(59.7%)；酒精性占14 (46.7%)，非酒精性占16(53.3%)；激素性占16(53.3%)，非激素性占14 (46.7%)；拄拐占8(29.7%)，非拄拐占22(70.3%)。结论 II期股骨头坏死保髋疗效欠佳受年龄、性别、职业、体重指数、病程、饮酒史、激素使用史、拄拐等因素影响。 关键词：股骨头坏死；保髋治疗；相关因素 Abstract:Objective:to explore the effects of II stage of femoral head necrosis HIP-PRESERVING poor correlation factors for clinical treatment and prevention, and provide a theoretical basis and application guide. Methods：30 cases of II stage of femoral head necrosis patients, using retrospective study method, collecting clinical data, analysis of data. Results：follow-up results revealed 30 cases of II stage of femoral head necrosis, average age 42.36± 11.09 years; the average BMI of 22.56± 1.92; the average duration of 4.10 ±2.09; gender males accounted for 20(66.7%), women accounted for 10(33.3%); occupation non-manual accounted for 13(43.3%), physical labor accounted for 17(56.7%); alcoholic accounted for 14(46.7%), non-alcoholic accounted for 16(53.3%); hormone sex accounted for 16(53.3%), a hormone sex accounted for 14(46.7%); crutches accounted for 8(26.7%), a crutch accounted for 22(73.3%). Conclusion:II stage of femoral head necrosis HIP-PRESERVING poorly affected by age, gender, occupation, body mass index, course of disease, history of alcohol use, hormone use history, crutches and other factors. Key words:avascular necrosis of the femoral head; hip treatment; related factors 【中图分类号】R720.5 【文献标识码】A 【文章编号】1672-3783(2012)06-0264-01 股骨头坏死（ONFH）是由各种病因引起的股骨头有活力成分死亡的病理过程，临床往往表现为髋关节周围疼痛、功能障碍为主要临床表现的症状。股骨头坏死仍然是骨科难治性疾病之一，其治疗是骨科面临的棘手问题。依据ARCO分期标准,股骨头坏死共分为IV期,其中II股骨头坏死是一个特殊的期间,该期对治疗预后效果具有特别重要的意义,可以说是一个关卡,如果治疗及时得当,股骨头坏死就能保持稳定,甚至预后效果非常理想；如果病情继续发展，进入III期或者IV期，患者治疗及预后效果欠佳，甚至最终髋关节功能障碍，影响患者的生活质量，最后选择人工关节置换。对此深入研究II期股骨头坏死保髋治疗疗效相关影响因素具有重要的临床意义。 1 资料与方法 1.1 资料:对30例在骨