股骨头缺血坏死的介入治疗及疗效评价

Interventional Treatment and Evaluation about Avascular Necrosis of the Femoral Head Patients

目的探讨股骨头缺血性坏死(ANFH)的介入治疗。方法通过对成人ANFH30例患者采用介入方法,即股动脉穿刺插管至旋股内外侧动脉直接给药,治疗成人ANFH,以此探讨成人ANFH的影像诊断、临床治疗时机、治疗方法的有效性。结果本组治疗的30例ANFH患者,27例症状明显改善均属Ⅰ、Ⅱ期,只有2例属Ⅲ期,而3例症状有所改善者均属Ⅲ期和Ⅳ期。结论介入溶栓治疗ANFH的临床结果与其临床分期密切相关。

Objective To discuss the interventional treatment about avascular necrosis of the femoral （ANFH） head patients. Methods Through the Adult ANFH 30 patients were treated with interventional approach, namely, the femoral artery puncture to the femoral artery inside and outside the direct administration, the treatment of adult ANFH, as images of adult ANFH diagnosis, clinical treatment time, treatment method is effective. Results In this group treated 30 cases of ANFH patients, 27 cases significantly improved the symptoms are I, II period, only 2 cases are in stage III, and 3 patients with symptomatic improvement in those who are in stage III and IV. Conclusion Intra-arterial thrombolysis the clinical results of femoral head necrosis is closely related to their clinical stages.