儿童股骨头骨缺血性坏死的介入治疗

Interventional treatment of children's femoral head avascular necrosis(analysis of 30 cases)

目的 :探讨儿童股骨头缺血性坏死的介入疗效。方法 :3 0例经X线、CT、MRI诊断明确的儿童股骨头缺血性坏死患者 ,采用旋股内、外侧动脉及闭孔动脉插管介入性治疗。结果 :疼痛症状消失、减轻者为 2 8例 ,关节功能恢复正常或 1级者 2 6例 ,股骨头营养动脉增多 8例。经 1a至 3a的随访观察 ,股骨头坏死骨均有不同程度的修复。结论

Objective To evaluate on efficacy of interventional treatment for children's femoral head avascular necrosis.Method 30 cases with femoral head avascular necrosis confirmed by X ray,CT,MRI clear diagnosis were treated with intra-arterial infusion through medial circumflex femoral artery,lateral circumflex femoral artery and obturator artery.Results Ache disappeared or alleviated in 28 cases,function of articulation repaired or grade 1 in 26 cases,increases in the nutritional artery of femoral head in 8 cases.Necrosis osseous have been repaired in different degrees from 1 to 3 years after interventional treatment.Conclusion The methods have a significant effect on osseous repairs for children's femoral head necrosis.