摘要
目的:初步探讨系统抗凝、改善骨内微循环治疗激素性股骨头缺血性坏死的疗效,寻找治疗激素性股骨头缺血性坏死的有效方法。方法:选择激素性股骨头缺血性坏死患者21 例共32 髋进行临床治疗,采用阿斯匹林进行系统抗凝,复方丹参、低分子右旋糖酐改善骨内微循环。结果:经3 mo~2 a,平均11 mo 的随访,12 例患髋疼痛消失,7 例患髋疼痛减轻,2 例未改善。除2 例3 髋有放射学加重外,17 例26 髋表现放射学稳定,2 例3 髋表现放射学趋好。结论:系统抗凝、改善骨内微循环是治疗激素性股骨头缺血性坏死的可行性方法。
Objective:To study the treatment of steroid-induced femoral head ischemic necrosis with anticoagulation and perfusion of bone microcirculatien.Methods:21patients involved 32 hips with steroid-induced femoral head ischemic necrosis were treated. The aspirin was used as anticoagulant, the compound Danshen and low molecular dextran were used to perfuse bone microcirculation.Results:After an average of 11 months followed up, the pain of hips in 12 cases disappeared, 7 cases alleviated and 2 cases didn't improve; the radiography in 17 cases with 26 hips had no exacerbation. 2 cases with 3 hips improved and 2 cases with 3 hips had exacerbation.Conclusion:It is a feasible method to treat steroid-induced femoral head ischemic necrosis with anticoagulation and perfusion of bone microcirculation.
出处
《内蒙古医学院学报》
1999年第4期235-237,共3页
Acta Academiae Medicinae Neimongol