多孔髓芯减压联合髋关节镜清理术治疗早期股骨头缺血坏死

目的 观察多孔髓芯减压联合髋关节镜清理术治疗早期股骨头缺血坏死(ANFH)的疗效.方法 将60例早期ANFH患者随机分为观察组23例(30髋)和对照组25例(30髋),分别行多孔髓芯减压联合髋关节镜清理术及传统股骨头髓芯减压术,术后采用髋关节Harris评分及影像学检查评定治疗效果.结果 患者均获随访5个月～3 a(平均32.3个月),术中、术后无严重并发症发生;观察组和对照组临床成功率分别为86.7%、60.0%(P<0.05),影像学成功率为83.3%、70.0%(P<0.05).结论 多孔髓芯减压联合髋关节镜清理术治疗早期ANFH短期疗效肯定,长期疗效有待于进一步观察.

Surgical treatment of necrosis of the femoral head in early stage with core decompression and arthroscopy debridement

Objective To compare the effectiveness of ischemic necrosis of the femoral head using multihole core depression with arthroscopic debridement and core depression only.Method 48 patients with necrosis of femoral head(60 hips) were randomly assigned to the two groups.Among them,23 patients(30 hips) of the obwerved group were treated with multihole core depression with arthroscopic debridement,25 patients(30 hips) of the control group with multihole core depression only.The clinical outcomes of all patients we...