股骨头缺血性坏死介入治疗的临床应用

Clinical Application of Interventional Therapy for Avascular Necrosis of the Femeral Head

目的:评价股骨头缺血性坏死介入治疗的可行性,介绍与文献报道治疗方法的不同之处。材料与方法:将扩张血管、溶栓及改善微循环的药物直接注入缺血坏死股骨头的供血动脉内。旋股内、外动脉注入药物前.大腿根部用加压止血带捆绑并加压。45天重复治疗。治疗后第15天.患肢静滴尿激酶10万单位/d,共10天。治疗前后临床症状及影像学表现对比研究。结果:介入治疗后疼痛的缓解或改善占100％,X线、CT复查均有不同程度的骨质修复,新骨形成。DSA显示股骨头供血小动脉增粗,细小动脉增多,显影时间缩短。Ⅳ期骨质改变轻微或不明显。结论:介入插管治疗股骨头缺血性坏死,尤其是Ⅲ期以前患者是一种安全有效的治疗方法。

Evaluate the possibility of interventional therapy for avascular necrosis of the femeral head, Different place for curing the method of way of introduction and cultural heritage report. Materials and Methods: Will extend the blood vessel, Fuse the blood to bolt and improve the tiny and circulating medicine is to directly infuse into the femeral head of avascular necrosis the blood artery of inside. Revolve femeral head inside, outside artery infuse medicine front, thigh root the department use to add to press to stop bleeding to take binding and add to press.; Repetition treatment of 45 days. Is the 15 days after the treatment, and get the legs vein point drop UK 10 ten thousand units/d, altogether 10 days. The treatment is in front and back the clinical condition of illness and image leant performance the contrast research. Results: Interventional therapy to behind sorely alleviate or ameliorative occupy 100% . Bone substance that X line, CT the repetition check to all have the different degree to repair, new bone substance formation. The DSA shows the bone to provide the small artery of blood to increase the bulky, smallartery to increase, develop time to shorten. Ⅳ period the bone substance changes is slight or unknown show. Conclusion: Get interventional to put the tube the treatment avascular necrosis of the femeral head, particularly is Ⅲ period treatment method for before getting is a kind of safety validating.