成人股骨头缺血坏死的介入治疗

目的　总结成人股骨头缺血坏死的介入治疗效果。方法　经旋股内、外动脉 ,闭孔动脉超选插管灌注溶通扩血管药物治疗成人股骨头缺血坏死 7例 (8侧 )。结果　介入治疗后患者临床症状改善明显 ,髋部疼痛及关节功能障碍均有所缓解或消失 ;X线复查见坏死骨质有不同程度吸收、新骨形成及修复表现。结论　介入治疗成人股骨头缺血坏死是一种简便、安全、有效的新方法。

Interventional Therapy for Avascular Necrosis of the Femoral Head in Adults

Objective To summarize the therapeutic effects of avascular necrosis of the femoral head in adults. Methods Thromolytic agents and vasodilator drugs were perfused into circumflex internal and external femoral arteries and obturator artery . Results In 7 cases , following interventional therapy , there were marked improvement of clinical symptoms with relief or disapperance of pain and functional disorder in hip joint. Re-examination with X-ray showed reabsortion of necrotic bone of different degrees, formation and repairment of new bone. Conclusion The authors believe that method is easier and safer, and the effects are reliable.