不带血管腓骨支撑植骨术加中药治疗围塌陷期股骨头坏死疗效分析中医骨伤科学专业论文.docxVIP

死范围30％，位于股骨头外侧者疗效偏差。异体腓骨和自体腓骨疗效没有差别。手 术加中药可以有效阻止或改善股骨头塌陷，保持股骨头外形及髋关节正常结构。中医 辩证以湿热浸淫，气滞血瘀型疗效最差。 关键词：股骨头坏死；治疗；手术；腓骨植骨；辩证 II Nonvascularized Nonvascularized Fibular SuppoSing Grafts Combined With Traditional Chinese Medicine for Pericollapse Stage Osteonecrosis of the Femoral Head Speciality：Orthorpecics Author：DUAN RUIQI Tutor：Professor HE WEI Abstract Objective：We will retrospectively evaluate the effect of nonvascularized fibular supporting grafts combined with traditional Chinese medicine for pericollapse stage osteonecrosis of the femoral head，SO，we could get some useful information and provide obiective basis for the treatment of osteonecrosis of the femoral head． Methods：Sixty．seven patients(ninety-nine hips)with osteonecrosis of the femoral head underwent nonvascularized fibular supporting grafting combined with traditional Chinese medicine at the hip center of the first hospital of Guangzhou TCM from February 2004 tO December 2004．The follow—up time ranged from 5 to 25 months(average，19．01 months)． Clinical evaluation refer Harris hip score system：We compared the clinical effect in different stage，the size and position of the lesion，autograft and allograft of the fibula． Radiographic effect was examined by the pre-operativea and post-operative X—ray and MRI， and we examined the collapse degree of the femural head．Comparing the clinical and radiographic effect by dialectic，we evaluated treatment effect of every pattern of dialectic and want tO provide objective basis for treatment of TCM． Results：Of all the hips，the screws penetrate the article surface into the joint cavity in two hips and turned tO arthroplasty,the femeral head secondary collaps happened in one hip combined with serieous pain and turned tO total hip arthroplasty．Of the remaining 96 hips， clinical successful rate was 83．3％，and the clinical effective rate was 94．8％．Successful results were achieved in 94．4％of the patients with ARCO II hips，76．7％with Stage III osteonecrosis hips．Good r