摘要
目的 研究股骨头钻孔蝮蛇抗栓酶和丹参局部灌注对股骨头缺血坏死的治疗作用。方法 对 38例 41髋股骨头缺血性坏死 (Ⅰ～Ⅳ期 )患者采用股骨头钻孔减压 ,然后置管灌注蝮蛇抗栓酶和丹参 ,观察髋关节疼痛、功能恢复、活动度、股骨头修复情况。结果 疗效评价根据 1995年全国首届骨坏死学术交流会拟定的 10 0分标准。优 15例 17髋 ,良 2 0例 2 1髋 ,可 2例 2髋 ,差 1例 1髋。总优良率 92 %。结论 股骨头钻孔药物灌注治疗股骨头坏死具有手术难度小、创伤小、无副作用、疗效高的优点 ,是可供选择的一种治疗方法。
Objective To study the curative effect of the core decompression with drilling hole and irrigating drugs of snake antithrombotic enzyme and radix salviae miltiorrhiza into femoral head for the treatment of adult necrosis of femoral head.Methods\ The core decompression with drilling hole and irrigating drugs of snake antithrombotic enzyme and radix salviae miltiorrhiza into femoral head were used for 38 patients (41 hips) with avascular necrosis of femoral head stage Ⅰ～Ⅳ. The changes of pain, function, movement degree, and repaire of femoral head were observed. Results\ According to hundred mark standards made by first necrosis academic exchange conference of China in 1995, the curative effects were evaluated, and it is found that 15 cases (17 hips), 20 cases (21 hips), 2 cases(2 hips) and l case(1 hip) obtainced excellent, good, general and poor results respectively. Conclusion The technique possesses remarkable effect, simple operative procedure, little operative trauma, and there are no bad effect and fast recovery. It is an alterative method.
出处
《临床骨科杂志》
2000年第3期220-221,共2页
Journal of Clinical Orthopaedics
关键词
股骨头坏死
蝮蛇抗栓酶
丹参
灌注
治疗
femoral head necrosis
ahylysantinfarctase
salvia miltiorrhiza
perfusion, regional
