[1]诸葛天瑜 汤志刚 周前 孙捷△ 方苏亭 王海敏 李恩典 孙球 陈朝晖.腓骨条镙钉双支撑术结合力学研磨功能疗法在股骨头坏死保头治疗中的应用[J].中国中医骨伤科杂志,2017,25(03):33-36.
　ZHUGE Tianyu TANG Zhigang ZHOU Qian SUN Jie FANG Suting WANG Haimin LI Endian SUN Qiu CHEN Zhaohui.Application of Double-support of Fibula and Screw Combined with Mechanical Grinding in the Conservative Treatment of Avascular Necrosis of Femoral Head[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2017,25(03):33-36.
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腓骨条镙钉双支撑术结合力学研磨功能疗法在股骨头坏死保头治疗中的应用()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第25卷
期数:
2017年03期
页码:
33-36
栏目:
临床研究
出版日期:
2017-03-08

文章信息/Info

Title:
Application of Double-support of Fibula and Screw Combined with Mechanical Grinding in the Conservative Treatment of Avascular Necrosis of Femoral Head
文章编号:
1005-0205(2017)03-0033-04
作者:
诸葛天瑜1 汤志刚2 周前3 孙捷1△ 方苏亭1 王海敏1 李恩典2 孙球1 陈朝晖3
1.浙江台州市博爱医院(浙江 台州,318050)
2.杭州中西医结合医院
3.三门君同骨伤医院
△.通信作者 E-mail:13957653366@126.com
Author(s):
ZHUGE Tianyu1 TANG Zhigang2 ZHOU Qian3 SUN Jie1△ FANG Suting1 WANG Haimin1 LI Endian2 SUN Qiu1 CHEN Zhaohui3
1.Taizhou Boai Hospital,Taizhou 318050,Zhejiang China;
2.The Hospital of Integrated TCM and Western Medicine of Hangzhou City,Hangzhou,China;
3.Juntong Orthopedics Hospital of Sanmen City,Sanmen,Zhejiang China.
关键词:
股骨头坏死;  保头保髋;  力学研磨;  活骨胶囊;  中医康复;  腓骨条镙钉双支撑
Keywords:
osteonecrosis of the femoral head;  hip-preserving;  mechanical grinding;  HUOGU capsule;  TCM rehabilitation;  double-support of fibula and screw
分类号:
R681.8
文献标志码:
A
摘要:
目的:评价腓骨条镙钉双支撑术结合力学研磨功能疗法在股骨头坏死保头治疗中的作用。方法:选自2010年1月至2016年3月本院骨科采取腓骨条镙钉双支撑术、中药活骨胶囊,部分结合力学研磨功能疗法治疗的股骨头坏死病人65例100髋,分为力学研磨功能疗法观察组30例46髋,对照组35例54髋; 根据Harris评分、ARCO影像学评价、综合疗效评价及不良事件等指标,比较两组的有效性和安全性。结果:观察组和对照组平均随访时间分别为(47.37±18.28)和(44.88±18.84)个月,两组治疗前Harris评分分别为(51.52±11.30)和(52.30±10.80)分,治疗后分别为(89.15±12.21)和(83.62±12.92)分,组内比较疗后Harris评分均优于治疗前,差异有统计学意义(P<0.05); 股骨头稳定率分别为67.39%和59.26%,股骨头修复率分别为71.74%和59.26%; 综合疗效分别为97.85%和87.04%.组间比较,观察组Harris评分优于对照组,差异有统计学意义(P<0.05); ARCO影像学评价以及综合疗效评价观察组均优于对照组,但差异无统计学意义(P>0.05); 两组均未发生严重不良事件。结论:腓骨条镙钉双支撑术结合力学研磨功能疗法在股骨头坏死保头治疗中能够增进改善髋关节功能,且安全可靠。
Abstract:
Objective:To evaluate the effect of mechanical grinding in the conservative treatment of osteonecrosis of the femoral head. Methods:100 hips of 65 ONFH patients were divided into mechanical grinding group(46 hips of 30 cases,treated with double-support of fibula and screw combined with mechanical grinding and HUOGU capsule)and the control group(54 hips of 35 cases,treated with double-support of fibula and screw combined with HUOGU capsule only).The efficacy and safety of the two groups were compared according to the Harris score,ARCO imaging evaluation,comprehensive evaluation and adverse events. Results:The average follow-up time of the mechanical grinding group and the control group was(47.37±18.28)months and(44.88±18.84)months respectively. The Harris score of the two groups before treatment was(51.52±11.30)months and(52.30±10.80)months respectively,and(89.15±12.21)months and(83.62±12.92)months respectively after treatment; the Harris scores after treatment were better than those before treatment and the difference was statistically significant. The stability rate of femoral head in the mechanical grinding group and the control group were 67.39% and 59.26% respectively; the repair rate of femoral head was 71.74% and 59.26% respectively,and the total effective rate was 97.85% and 87.04% respectively. The Harris score of the mechanical grinding group was better than that of the control group,and the difference was statistically significant. ARCO imaging evaluation and comprehensive efficacy evaluation of the mechanical grinding group were better than those of the control group,but the difference was not statistically significant. No serious adverse events occurred in the two groups. Conclusion:Mechanical grinding treatment can improve the function of hip joint in the treatment of ONFH,and it is safe and reliable.

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备注/Memo

备注/Memo:
基金项目:浙江省卫医药卫生科技平台重点项目(2012ZDA045)
更新日期/Last Update: 2017-03-15