介入治疗股骨头缺血坏死16例

目的评价介入治疗股骨头缺血坏死的治疗效果。方法采用Seldinger穿刺技术超选择插管至旋股内、外动脉及闭孔动脉灌注扩张血管、溶栓、止痛及活血化淤等药物治疗16例20侧股骨头缺血坏死，其中5髋二次治疗，3髋三次治疗。结果髋部疼痛及关节功能障碍均有明显缓解和改善，骨质结构不同程度修复。结论介入治疗股骨头缺血坏死，创伤小，血管开通率显著提高，明显改善了股骨头及其周围的微循环，且有效缓解了临床症状、促进坏死骨的修复，是一种相对安全并且疗效显著的治疗方法。

Interventional therapy for 16 cases of avascular necrosis of femoral head

Objective To evaluate the effect of interventional treatment to the avascular necrosis of femoral head(ANFH).Methods Twenty hips in 16 cases of ANFH(with 5 hips treated secondly and 3 hips treated thirdly) were treated with Seldinger puncture technology to insert a tube into circum flex internal and external femoral arteries and obturator artery ultra-selectively,then vasodilator,pain-relieved and dissolving drugs and so on were perfused into.Results The ache of hip department and the functional barrier of arthrosis have been alleviated and improved obviously,and the osseous structure repaired to different degrees.Conclusion The interventional treatment to the avascular necrosis of femoral head(ANFH) can reduce the area of wound,enhance the rate of clearing blood vessel remarkably,improve the micro circulation of the femoral head and its periphery obviously,also alleviate the clinical symptoms and promote the reparation of necrotic bone effectively.So the method of this treatment is relatively security and remarkably effective.