【摘要】 目的:对儿童股骨头坏死的多种治疗方法进行分析评价,以总结出系统的治疗方案。方法:对164例患者进行长期随访,观察多种方法对本病不同分型和分期的治疗结果,对比其治疗的有效性和适应证。结果:几种方法各有优缺点,治疗的效果与分期和分型及所选的治疗方案间有明显的相关性。Ⅰ型的各期应以保守治疗为好,Ⅱ型的Ⅰ期可行较简单的治疗,Ⅲ期一般应不进行手术,Ⅲ型的Ⅰ期,Ⅱ期,Ⅲ期均可行吻合血管腓骨移植。Ⅳ型的病例,应行多种方法联合治疗。结论:应根据疾病的分期和分型选择具体的治疗方案。更多还原

【Abstract】 Objective: To analyze the efficacy of various therapies on Perthes disease and summarize a systematic treatment strategy. Methods : One hundred and sixty-fwe cases were long-term followed. The advantages and disadvantages of various therapies were compared. Results: Each method had its advantage and disadvantage; the effects were correlated with the stages and types of the patients and the therapy they were given. Simple treatment is recom-mended for type Ⅰcases . For typeⅡ, simple procedures can be used in stage Ⅰ of the patients and surgery was usually contraindicated for stage Ⅲ cases . For type Ⅲ , vascularized fibula grafting may be considered for cases of stage Ⅰ ,Ⅱ andⅢ. For type Ⅳcases, combined therapies should been considered. Conclusion : The therapy should be individualized to patient.更多还原