姑息性手术治疗系统性红斑狼疮并发股骨头缺血性坏死

目的评价姑息性手术治疗系统性红斑狼疮（SLE）并发股骨头缺血性坏死（ANFH）的疗效。方法采用姑息性手术治疗SLE并发ANFH患者6例11髋（另外1髋行了全髋置换术），选取同期6例ANFH分期大致相近的激素性（非SLE）患者作为对照。结果治疗组11髋总有效为9髋，其中优良为6髋；另外2髋疼痛有所减轻，但X线显示坏死区扩大，所植骨逐渐被吸收。对照组12髋总有效12髋，其中优良为8髋。结论从近期疗效来看，姑息性手术治疗SLE并发ANFH疗效基本满意。

Hip-preserving surgery in the treatment of secondary avascular femoral head necrosis in patients with systemic lupus erythematosus

Objective To evaluate the effect of Hip-preserving surgery on secondary avascular necrosis of the femoral head(ANFH) in patients with systemic lupus erythematosus(SLE).Methods A prospective study enrolling 12 ANFH patients receiving Hip-conserving surgery therapy was conducted.Six cases(11 hips) with SLE were assigned to treatment group and 6 cases of ANFH without SLE were assigned to control group.Results Hip-preserving surgery therapy was effective in both groups.9 hips out of 11 hips in the treatment group were improved,and especially 6 hips were significantly improved.However,X-ray analysis indicated that necrotic area of 2 hips in the treatment group increased and the implanted bones were gradually absorbed.While in the control group,12 hips out of 12 hips were improved,and 8 hips were significantly improved.Conclusions Hip-conserving surgery is effective in secondary ANFH patients with SLE.