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医学临床研究  2020, Vol. 37 Issue (10): 1508-1510    DOI: 10.3969/j.issn.1671-7171.2020.10.020
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DSA介入融通疗法治疗早期股骨头坏死的临床疗效
董强, 祁学强
延安市人民医院骨一科,陕西 延安 716000
Efficacy and Prognosis of DSA Interventional Fusion Therapy in Patients with Early Stage Femoral Head Necrosis
DONG Qiang, QI Xue-qiang
Department of Orthopedics,Yan'an People's Hospital, Yan'an Shaanxi,716000, China
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摘要 【目的】 探讨数字减影血管造影(DSA)介入融通疗法治疗早期股骨头坏死的临床疗效。【方法】 选择2016年1月至2017年6月在本院诊治的118例早期股骨头坏死患者,根据治疗方法不同分为观察组(68例)和对照组(50例),观察组采用DSA介入融通疗法治疗,对照组采用髓芯减压植骨法治疗。分析比较两组患者的临床疗效及预后。【结果】 治疗前,两组患者髋关节Harris评分、Ficat疼痛指数评分比较差异无统计学意义(P>0.05);治疗6个月、12个月后,观察组髋关节Harris评分均明显高于对照组, Ficat疼痛指数评分明显低于对照组,其差异均有统计学意义(P<0.05)。观察组不良反应发生率明显低于对照组,差异有统计学意义(P<0.05)。【结论】 DSA介入融通疗法用于治疗早期股骨头坏死可明显改善患者髋关节功能,缓解疼痛症状,患者预后良好,值得临床推广应用。
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董强
祁学强
关键词 股骨头坏死/治疗血管造影术数字减影放射摄影术 介入性    
Abstract【Objective】 To investigate the efficacy and prognosis of digital subtraction angiography (DSA) interventional fusion therapy in patients with early stage femoral head necrosis. 【Methods】 A total of 118 patients with early stage femoral head necrosis who received treatment in our hospital from January 2016 to June 2017 were selected as the research subject. According to the different treatment methods, patients were divided into the observation group (n=68) and the control group (n=60). Patients in the observation group received DSA interventional fusion therapy, while patients in the control group received core decompression and bone grafting. The clinical efficacy and prognosis of patients in the two groups were analyzed and compared. 【Results】 Before treatment, there was no statistically significant differences of both Harris score for hip function and the pain index Ficat score between the two groups (P>0.05). After 6 months and 12 months of treatment, the Harris score in the observation group was higher than that in the control group, while the Ficat pain index score in the observation group was lower than that in the control group. The differences between the two groups were statistically significant (P<0.05). The incidence of adverse reactions in the observation group was lower than that in the control group, and the difference with statistical significance (P<0.05). 【Conclusion】 DSA interventional fusion therapy for the treatment of early stage femoral head necrosis can significantly improve the function of hip function and relieve pain symptoms, which shows a good prognosis and worthy clinical application.
Key wordsFemur Head Necrosis/TH    Angiography    Digital Subtraction    Radiography    Interventional
收稿日期: 2019-04-30     
PACS:  R683.421  
通讯作者: E-mail:709675093@qq.com   
引用本文:   
董强, 祁学强. DSA介入融通疗法治疗早期股骨头坏死的临床疗效[J]. 医学临床研究, 2020, 37(10): 1508-1510.
DONG Qiang, QI Xue-qiang. Efficacy and Prognosis of DSA Interventional Fusion Therapy in Patients with Early Stage Femoral Head Necrosis. JOURNAL OF CLINICAL RESEARCH, 2020, 37(10): 1508-1510.
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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2020.10.020     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2020/V37/I10/1508
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