ESWT治疗股骨头缺血性坏死疗效分析.docVIP

ESWT治疗股骨头缺血性坏死疗效分析 　　[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；黄克勤疗效评分通过多个样本率的x2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 　　[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 test scores（A→B）. To compare the different effective rate of ESWT in the treatment of avascular necrosis of femoral head by Huang Keqin’s effect scores in each period. Results The therapeutic effect of patients with avascular necrosis of femoral in early period were significantly better than which in metaphase and later period. Conclusion ESWT in the treatment of avascular necrosis of femoral head early could delay the avascular necrosis of femoral head， could promote the reconstruction of bone structure and the improvement of joint function. 　　[Key words] ESWT； Avascular necrosis of femoral head； Research progress 　　目前治疗股骨头缺血性坏死仍是骨科领域的难点之一，对于年轻患者仍先考虑保守治疗。保守治疗的方法虽多，但疗效都不确切。体外冲击波疗法（extracorporeal shock wave therapy，ESWT）经临床观察，治疗股骨头缺血坏死有效。我院从2010年6月～2013年12月共收集了26例（30髋）股骨头缺血坏死患者临床资料进行研究，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　ANFH患者26例（30髋），男16例（18髋），女10例（12髋）；年龄30～59岁，平均43.1岁；病程6个月～3年，平均1.4年