钻孔减压股动脉介入联合高压氧治疗早期股骨头坏死临床疗效观察

Clinical observation of 28 cases of early avascular necrosis of femoral head treated by drilling decompression,femoral artery intervention and hyperbaric oxygen therapy

目的观察股骨头钻孔减压联合股动脉介入、高压氧治疗早期股骨头缺血性坏死的临床效果。方法对28例早期股骨头缺血性坏死病例全部采用钻孔减压与股动脉介入、高压氧治疗(研究组);另选同期同样病变患者28例采用传统方法治疗(对照组),比较两组患者的临床疗效。结果研究组总有效率为89.3%,对照组总有效率为39.3%,组间差异有统计学意义(P<0.05),提示研究组临床效果明显优于对照组。结论采用股骨头钻孔减压与股动脉介入、高压氧治疗早期股骨头缺血性坏死能使患者临床症状明显缓解,疼痛减轻或部分消失,功能改善或逐渐恢复,未发现毒副作用及并发症。本文研究组病例还在进一步随访和观察中,有待进一步探索和总结。

Objective To observe the clinical effects of early avascular necrosis of femoral head treated by drilling decompression, femoral artery intervention and hyperbaric oxygen therapy. Methods The study group of 28 cases of ear- ly avascular necrosis of femoral head treated by drilling decompression, femoral artery intervention and hyperbaric oxygen therapy compared with the control group 28 cases of early avascular necrosis of femoral head treated by traditional treat- ment. Results The total effective rate of the study group was 89.30~, but the total effective rate of the control group was 39.3 %. The results were statistically significant. Conclusion ral head by drilling decompression, femoral artery intervention and It is effective to treat early avaseular necrosis of femo hyperbaric oxygen therapy.