股骨头钻孔持续药物灌注治疗股骨头缺血性坏死

Drilling decompression and continuous drugs perfusion for ischemic femoral head necrosis

目的探讨股骨头钻孔复方丹参和复方骨肽局部持续灌注治疗股骨头坏死的疗效.方法对48例54髋股骨头缺血性坏死(Ⅰ～Ⅳ期)患者采用股骨头钻孔减压、置管持续灌注复方丹参和复方骨肽,治疗3～4周.结果46例52髋获随访1～6年,根据1995年全国首届骨坏死学术交流会拟订的100分标准,优良率达93.5%.结论股骨头钻孔持续药物灌注治疗股骨头坏死具有手术操作简单、创伤小、无副作用、疗效高等优点.

Objective To investigate the effect of drilling decompression and continuous compound salvia miltiorrhiza and osteopeptide perfusion for ischemic femoral head necrosis. Methods 48 patients(54 hips) of ischemic femoral head necrosis (stage Ⅰ~Ⅳ)were undergone femoral head drilling decompression and continuous compound salvia miltiorrhiza and osteopeptide perfusion for 3~4 weeks. Results 46 patients (52 hips) were followed up for 1~6 years. According to the 100 scores standard made in 1995 national osteonecrosis academic conference, the excellent and good rate was 93.5%. Conclusions It requires simple manipulation, and can provide satisfactory effect with minimal trauma in the treatment of ischemic femoral head necrosis with drilling decompression and continuous drugs perfusion.