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血管介入治疗对股骨头缺血性坏死患者效果、症状评分及髋关节功能的影响

Effect of vascular interventional therapy on treatment outcome,symptom score and hip joint function in patients with avascular necrosis of femoral head

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【作者】 张骏蔡巍段华阳国兴

【Author】 ZHANG Jun;CAI Wei;DUAN Hua;Department of Hepatobiliary and Gastrointestinal Surgery,The Sixth People′s Hospital of Chengdu;

【通讯作者】 段华;

【机构】 成都市第六人民医院肝胆胃肠外科四川省医学科学院·四川省人民医院

【摘要】 目的观察血管介入治疗股骨头缺血性坏死的效果。方法选取2016年7月-2017年8月医院收治的股骨头缺血性坏死患者82例,依据治疗方法不同分为治疗组42例与对照组40例,治疗组行血管介入治疗,对照组行钻孔减压术治疗,比较2组治疗效果。结果治疗组总有效率为85.71%高于对照组的67.50%,差异有统计学意义(P<0.05)。治疗后2组患者Harris评分、关节活动度、疼痛程度、行走距离及生活能力评分均高于治疗前,且治疗组高于对照组,差异均有统计学意义(P<0.05)。结论血管介入治疗股骨头缺血性坏死效果好,可有效恢复患者髋关节功能,改善患者临床症状,值得临床推广应用。

【Abstract】 Objective To observe the effect of vascular intervention on avascular necrosis of the femoral head.Methods 82 patients with avascular necrosis of the femoral head admitted to the hospital from July 2016 to August 2017 were selected,and they were divided into treatment group(42 cases)and control group(40 cases)according to different treatment methods,the treatment group received vascular intervention for related treatment,the control group underwent decompression surgery,the effects of the two groups were compared.Results The total effective rate of the treatment group(85.71%)was higher than that of the control group(67.50%),and the difference was statistically significant(P<0.05).After treatment,the Harris score,joint activity,pain degree,walking distance and life ability score of the two groups were higher than before treatment,and the treatment group was higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion Vascular intervention for the treatment of avascular necrosis of the femoral head is effective,and it can effectively restore the hip joint function of patients,improve the clinical symptoms of patients,and it is worthy of clinical application.

【基金】 2012年四川省卫生厅科研课题常规项目(No:120128)
  • 【文献出处】 临床合理用药杂志 ,Chinese Journal of Clinical Rational Drug Use , 编辑部邮箱 ,2019年28期
  • 【分类号】R681.8
  • 【被引频次】3
  • 【下载频次】102
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