杨述华;吴星火;杨操;许伟华;李进;叶树楠;

• 1:华中科技大学同济医学院附属协和医院骨科
• 2:华中科技大学同济医学院附属协和医院骨科
• 3:华中科技大学同济医学院附属协和医院骨科
• 4:华中科技大学同济医学院附属协和医院骨科

摘要(Abstract)：

[目的]回顾性分析髓心减压及异体螺纹骨笼结合脱钙骨基质和自体骨植入治疗早期股骨头坏死的临床疗效,探讨其影响因素。[方法]本院于2000年2月~2006年8月间收治早期股骨头坏死76例(78髋),均采用髓心减压及异体螺纹骨笼结合脱钙骨基质和自体骨植入,术后预防性的静脉给予抗生素及抗凝治疗,并限制负重。临床评估采用Harris评分系统,评估术后患髋功能的改善情况,并定期行X线检查。[结果]76例均获得随访(24~68个月),术后进行疗效评估。参考Harris评分系统,术前的平均Harris评分为62.8分,术后平均评分为81.6分。髋关节影像学表现稳定,股骨头无坏死进展。[结论]髓心减压及异体螺纹骨笼结合脱钙骨基质和自体骨植入术治疗早期股骨头坏死临床效果满意,有利于骨坏死的修复和重建,适合于Ⅰ期和Ⅱ期股骨头坏死的患者。

关键词(KeyWords)： 股骨头坏死;骨笼;髓心减压;脱钙骨基质;自体骨

Abstract:

Keywords:

基金项目(Foundation): National Natural Science Foundation ofChina(No30170945;30471753)

作者(Author): 杨述华;吴星火;杨操;许伟华;李进;叶树楠;

Email:

DOI:

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