针刀联合动脉灌注治疗股骨头坏死临床观察

Clinical observation of needle knife combined with transcatheter arterial infusion on avascular necrosis

目的:观察针刀联合动脉灌注治疗早、中期股骨头坏死的临床疗效。方法:选取山西省中医院骨关节科2016年3月-2018年3月早、中期(Ficat分期I～III期)股骨头坏死住院患者60例,分为观察组(针刀联合动脉灌注治疗)和对照组(单纯动脉灌注治疗)各30例,观察对比治疗后1个月和3个月髋关节功能评分(Harris评分)。结果:观察组与对照组患者治疗后髋关节功能评分都取得了明显的改善(P<0.05)。而针刀联合动脉灌注治疗股骨头坏死较单纯动脉灌注治疗效果更加突出(P<0.05)。结论:针刀联合动脉灌注治疗早、中期股骨头坏死有显著疗效。

Objective:To observe the clinical effect of needle knife combined with transcatheter arterial infusion(TAI)on avascular necrosis(AVN)of early and middle stage.Method:60 patients with AVN(Ficat stage I^III)were selected from the Department of Orthopedics and Arthrology of Shanxi Traditional Chinese Medicine Hospital.They were divided into observation group(needle knife combined with TAI)and control group(TAI)with 30 cases each.The hip function score(Harris score)was observed and compared 1 month and 3 months after treatment.Results:Harris scores of both groups were increased 1 month and 3 months after treatment(P<0.05).Harris score of observation group was higher than that of control group 1 month and 3 months after treatment(P<0.05).Conclusion:Needle knife combined with TAI is effective in the treatment of AVN of early and middle stages.