髋关节牵开成形器的临床应用及其疗效观察

Clinical Application and Effect Observation of Hip Pulling Sharper

目的探讨髋关节牵开成形器在股骨头坏死早期治疗中的疗效。方法2004年1月-2006年12月,60例患者随机分为试验组和对照组,试验组口服药物加髋关节牵开成形器,对照组单纯行药物治疗,治疗后第1、3、5、7、12、18、24个月来院复查X线片和MRI片。结果①治疗12个月后,按照百分疗效评价标准,两组分值较治疗前均有所提高。除对照组在疼痛、功能改善上未见显著性差异外,治疗前后它均有显著性意义(P<0.05或P<0.01),单纯服药组优良率达到55.1%,服药+髋关节牵开成形器组/侧优良率达到63.8%。②采用内服药物治疗股骨头缺血性坏死和采用药物+髋关节牵开成形器治疗股骨头坏死以综合疗效标准评定均效果显著,两组有效率分别为65.3%、74.5%。结论髋关节牵开成形器是股骨头缺血坏死早期治疗的有效方法。

Objective To explore the effect of the hip pulling sharper in the treatment of the early femoral head osteonecrosis. Methods From January 2004 to December 2006, 60 patients were divided into experimental and control group. The experiment group was treated with the hip pulling sharper and chinese medicine and control group with chinese medicine only. The patients were requested X - ray and MRI after 1,3,5,7,12,18,24 months. Results （1）After 12 months, according to the standard of the effective evaluation, the two groups both improved. The better rate in experiment group was 63.8% and 55.1% in the control. （2）According to synthesis effective standard, the effective rate was 74.5% in experiment group and 65.3% in the control, Conclusion The hip pulling sharper is an effective methods to early femoral head osteonecrosis.