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骨小梁金属重建棒及自体松质骨髓植入配合中成药治疗早中期ONFH临床研究

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摘要 目的:观察骨小梁金属重建棒及自体松质骨髓植入配合中成药治疗早中期ONFH的临床疗效。方法:选取46例ARCOⅠ期、Ⅱ期ONFH患者作为研究对象,均采取保留股骨头的治疗方法,随机分为治疗组、对照组各23例,治疗组患者采用骨小梁金属重建棒及自体松质骨髓植入配合中成药填髓胶囊治疗,对照组患者采用单纯髓芯减压治疗。术前、术后、随访采用髋关节Harris评分结合患髋关节正轴位X线片评价疗效,并对评分结果进行统计学分析比较。结果:所有患者均接受随访,切口均甲级愈合,治疗组2例、对照组4例患者因股骨头塌陷行髋关节置换术,其他患者病情均无进展,内置物固定牢固。末次随访时,治疗组患者Harris评分为(91.76±1.67)分,高于对照组的(89.84±1.07)分,均较术前明显提高,差异具有统计学意义(P<0.05)。结论:两种手术方式治疗早中期股骨头坏死疗效确切,可减轻患髋关节疼痛、改善关节功能、延缓关节置换时间,且骨小梁金属重建棒及自体松质骨髓植入配合中成药治疗组患者Harris评分明显提高,值得临床推广应用。
出处 《亚太传统医药》 2017年第8期127-129,共3页 Asia-Pacific Traditional Medicine
基金 河南中医药大学研究生科研苗圃工程项目(MP2015-75)
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