[1]李士科 袁生武 郭永昌 郭金璋 蔡中奇 王刚 胡卫松 冯艳.微针单孔减压与传统多孔减压术治疗股骨头坏死的比较研究[J].中国中医骨伤科杂志,2022,30(02):26-30.
　LI Shike YUAN Shengwu GUO Yongchang GUO Jinzhang CAI ZhongqiWANG Gang HU Weisong FENG Yan.Comparative Study of Microneedle Single Hole Decompression and Traditional Porous Decompression on the Treatment of Femoral Head Necrosis.[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(02):26-30.
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微针单孔减压与传统多孔减压术治疗股骨头坏死的比较研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年02期
页码:
26-30
栏目:
临床研究
出版日期:
2022-02-15

文章信息/Info

Title:
Comparative Study of Microneedle Single Hole Decompression and Traditional Porous Decompression on the Treatment of Femoral Head Necrosis.
文章编号:
1005-0205(2022)02-0026-05
作者:
李士科1 袁生武2 郭永昌1 郭金璋1 蔡中奇1 王刚1 胡卫松1 冯艳1
1郑州中医骨伤病医院(郑州,450016)2郑州大学第五附属医院
Author(s):
LI Shike1 YUAN Shengwu2 GUO Yongchang1 GUO Jinzhang1 CAI Zhongqi1WANG Gang1 HU Weisong1 FENG Yan1
1Zhengzhou Traditional Chinese Medicine Orthopedics Hospital, Zhengzhou 450016,China; 2The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou 450052,China.
关键词:
股骨头坏死;  骨髓水肿;  微针单孔股骨头髓芯减压术;  传统多孔股骨头髓芯减压术;  组合治疗
Keywords:
femoral head necrosis;  bone marrow edema;  microneedle single hole femoral head core decompression;  traditional porous femoral head core decompression;  combination therapy
分类号:
R681.8
文献标志码:
A
摘要:
目的:观察微针单孔髓芯减压术在股骨头缺血性坏死骨髓水肿期反复应用的临床疗效。方法:回顾性分析股骨头缺血性坏死病例85例(110髋),分为微针髓芯减压治疗组(微减组)与多孔传统髓芯减压治疗组(传统组)。其中微减组Ⅰ、Ⅱ期实施治疗43例55髋; 传统组Ⅰ、Ⅱ期临床患者42例55髋,所有患者均来自2015年1月至2017年12月门诊和住院病例。比较两组患者不同时段VAS和Harris评分结果及随访结果、影像评估结果。结果:所有病例均获得随访,随访时间为36个月,随时间推移,两组VAS评分减少,Harris评分增加,差异有统计学意义(P<0.05)。术后3,6,12,24,36个月,微减组观察指标均优于传统组,差异有统计学意义(P<0.05); 两组VAS评分差距不大,差异无统计学意义(P>0.05),但微减组Harris评分显著优于传统组,差异有统计学意义(P<0.05)。回访结果:微减组无置换,传统组置换2例2髋。影像评估显示:微针减压治疗组总有效率为100%,传统减压组总有效率为85.45%,两组比较差异有统计学意义(P<0.05)。结论:微针髓芯减压术在股骨头坏死的临床应用中,以最小的骨质损伤取得较好的临床骨减压效果,在股骨头坏死远期的疗效中优于传统的多孔髓芯减压术。
Abstract:
To observe the clinical efficacy of microneedle single hole core decompression in the stage of avascular necrosis of femoral head and bone marrow edema. Methods:85 cases(110 hips)of avascular necrosis of the femoral head from January 2015 to December 2017 were analyzed retrospectively and were divided into microneedle core decompression treatment group(microneedle group)(43 cases(55 hips))and porous traditional core decompression treatment group(traditional group)(42 cases(55 hips)). VAS and Harris scores, follow-up results and imaging evaluation results in different periods were compared between the two groups. Results:All cases were followed up for 36 months. With the passage of time, VAS score decreased and Harris score increased in the two groups(P<0.05). The observation indexes in the microneedle group were better than those in the traditional group at 3, 6, 12, 24 and 36 months after operation(P<0.05). There was no significant difference in VAS score between the two groups(P>0.05), but the Harris score in the microneedle group was significantly better than that in the traditional group(P<0.05). There was no replacement in the microneedle group and 2 hips with 2 hips were replaced in the traditional group. Image evaluation showed that the total effective rate of microneedle decompression treatment group was 100%. The total effective rate of traditional decompression group was 85.45%, and there was significant difference between the two groups(P<0.05). Conclusion:Microneedle core decompression in the clinical application of femoral head necrosis can achieve better clinical bone decompression efficacy with minimal bone injury, and is better than the traditional porous core decompression in the long-term efficacy of femoral head necrosis.

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更新日期/Last Update: 1900-01-01