介入法治疗非创伤性股骨头坏死的临床研究.pdfVIP

目 录 中文摘要·····················································1 英文摘要·····················································2 前言······················································-··4日lJ舌 ······················································-··4 ’． 正文 《 ■ 资料与方法··············································7 结果···················································11 ．i寸_i{≥···················································16 结论···················································21 参考文献····················································22 致谢························································24 5f寸蜀乏························································26 病案举例····················································27 综述························································30 作者简历····················································35 1 翻 I ■ ， ● ， f ， ￡、一 介入法治疗非创伤性股骨头坏死的临床研究 张飞 中文摘要 目的：观察介入法对治疗非创伤性股骨头坏死的近期疗效；通过数字减影血管造影(DSA) 研究股骨头供血动脉的改变与股骨头坏死发生、发展之间的关系。 ’ ( 0 次治疗前用相同的造影条件造影，比较经过第一次治疗后患髋血管开通及侧支建立的情 况并结合患者症状改善情况加以分析，阐明血管的改变与股骨头坏死之间的关系，以及 通过介入治疗血管再通后，患者症状的改善情况。 1．描述性指标：股骨头坏死患者，第一次血管造影显示：病变股骨头主要供血动脉与正 常股骨头血供发生改变，且主要供血动脉发生不同程度的改变，主要表现为：供血动脉 稀少，吻合支少，血管狭窄、中断，对比剂染色范围小，颜色深；经血管灌注介入治疗 后闭塞中断和／或严重狭窄的血管再通，髋部血管数量增多，血管径增粗，血管延伸， 对比剂染色范围变大，颜色浅。2．数据性指标：①通畅血管管径，经过介入治疗血管再 通后比较，存在显著性差异(PO．05)；②血管计数介入治疗前后比较，存在显著性差 异(P0．05)；③介入治疗血管再通后，在旋股内侧动脉上干骺动脉的血管分型方面存 在显著性差异(P0．05)：④介入治疗血管再通后，股骨头对比剂染色程度方面