| 选择性介入治疗股骨头缺血坏死随访疗效分析 |
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| 引用本文： | 高谦,王福根,王刚,侯京山,江亿平.选择性介入治疗股骨头缺血坏死随访疗效分析[J].中国疼痛医学杂志,2011,17(6). |
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| 作者姓名： | 高谦 王福根 王刚 侯京山 江亿平 |
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| 作者单位： | 解放军总医院康复医学科,北京,100853 |
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| 摘 要： | 目的:应用选择性血管介入治疗股骨头缺血坏死,评估其治疗效果.方法:选择股骨头缺血坏死患者53例,采用选择股骨头供血动脉3级分支插管,较大剂量药物灌注扩张血管、辅以关节外骨骼肌松解术治疗.用VAS疼痛评分表进行测分评价,49例随访6个月至3年,平均17.6月.采取自身对照方法,用VAS评价治疗前后症状改善,影象学变化.结果:32/49患者治疗后临床症状均有改善,患肢活动范围改善和无痛行走距离增加,14例髋部疼痛完全消失.X线分析,19例骨密度增加;CT发现17例囊性变周围出现骨钙化;骨扫描发现14例患侧同位素浓集下降.结论:选择性大剂量药物灌注辅以骨骼肌松解术治疗股骨头缺血坏死有较好疗效.
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| 关 键 词： | 股骨头缺血坏死 选择性药物灌注 介入治疗 |
FOLLOW UP EFFICACY OF INTERVENTIONAL THERAPY FOR THE AVASCULAR NECROSIS OF FEMORAL HEAD |
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| GAO Qian,WANG Fu-Gen,WANG Gang,HOU Jing-Shan,JIANG Yi-Ping.FOLLOW UP EFFICACY OF INTERVENTIONAL THERAPY FOR THE AVASCULAR NECROSIS OF FEMORAL HEAD[J].Chinese Journal of Pain Medicine,2011,17(6). |
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| Authors: | GAO Qian WANG Fu-Gen WANG Gang HOU Jing-Shan JIANG Yi-Ping |
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| Institution: | GAO Qian,WANG Fu-Gen,WANG Gang,HOU Jing-Shan,JIANG Yi-Ping(Department of Rehabilitation Medicine,PLA General Hospital,Beijing 100853) |
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| Abstract: | Objective: To investigate the effect of Interventional Therapy for Avascular Necrosis of Femoral Head.Methods: fifty-three patients with Avascular Necrosis of Femoral Head in Ficat I-II stage diagnosed by MRI or CT were performed Interventional Treatment.The medicine for dissolving the thrombus were used through catheterizing medial and lateral circumfles arteries that is Superselective blood supply vessels for femoral heads.The clinical symptoms and X-ray were followed up before and after therapy.Results: ... |
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| Keywords: | Avascular necrosis of the femoral Head Drug flush Interventional treatment |
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