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早期股骨头缺血坏死介入治疗的探讨(附15例报告)
引用本文:李伟雄 王大健 等. 早期股骨头缺血坏死介入治疗的探讨(附15例报告)[J]. 医学文选, 2001, 20(5): 596-598
作者姓名:李伟雄 王大健 等
作者单位:广西医科大学一附院 南宁530027
摘    要:目的:探索早期股骨头缺血性坏死的介入治疗方法及效果。方法:采用seldinger穿刺方法超选择插管至患侧旋股内,外动脉,注入治疗药物(溶栓,扩血管,改善微循环等)。介入前后分别血管造影,以观察血管数及近期疗效。结果:介入治疗后患髋股头颈区血管数较治疗前增多(P<0.001),髋关节疼痛缓解,功能改善。结论:对早期股骨头缺血性坏死实施介入治疗,能够改善患髋的血液循环,减轻临床症状,改善关节功能,是一种微创安全有效的新方法,对远期疗效和治疗机理尚有待进一步观察和研究。

关 键 词:股骨头缺血性坏死 介入治疗 疗效观察

Interventional Therapy for the early stage of Aseptic Necrosis Of Femoral Head (reported with 15 cases)
LI Weixiong,WANG Dajian,PEI Yun,et al. Interventional Therapy for the early stage of Aseptic Necrosis Of Femoral Head (reported with 15 cases)[J]. Anthology of Medicine, 2001, 20(5): 596-598
Authors:LI Weixiong  WANG Dajian  PEI Yun  et al
Affiliation:LI Weixiong,WANG Dajian,PEI Yun,et al Department of radiology,the First Affiliated hospital of Guangxi Medical university,Nanning 530027
Abstract:Objective To explore the clinical effects of interventional therapy for the treatment in the early stage of aseptic necrosis of femoral head Methods By applying Seldinger's technique with super selection and perfusion method,dissolving and vasodilator drugs were perfused via circumflex internal and external femoral arteries Results Amgiography and DSA demonstrated that the number of blood vessels were increased than them before the interventional therapy (P<0 001) There were marked improvement of clinical symptoms with relief or disappearance of pain and functional disorder in hip joint Conclusion It can be improvement of clinical symptoms with relief or disappearance of pain and functional disorder in hip joint that interventional therapy for the treatment in the early stage of aseptic necrosis of femoral head And it is a good teatment with security and small traumatic
Keywords:the early stage of aseptic necrosis of femoral head  Interventional theropy  efficacy
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