摘要
目的探讨中药结合带股方肌蒂骨瓣转移术治疗早期股骨头缺血性坏死的临床价值。方法选择2017年1月～2017年10月某院收治的早期股骨头坏死患者90例,按照自愿、随机原则分组:A组为带股方肌蒂骨瓣转移术治疗组,B组为单纯中药治疗组,C组为带股方肌蒂骨瓣转移术配合中药治疗组,每组均为30例。随诊1年,比较3组X线检查存在股骨头移位及股骨头塌陷比例,比较髋关节Harris评分情况。结果随访1年,C组Ficat分期为Ⅰ期的比例高于B组和A组(P<0.05),C组治疗后3个月、6个月及12个月,其髋关节Harris评分均优于A组和B组(P<0.05)。结论将有特色优势的中药与带股方肌蒂骨瓣转移术相结合,不失为一种创伤小、操作简单而行之有效的更加理想的治疗早期股骨头缺血性坏死的方法。
OBJECTIVE To investigate the clinical value of traditional Chinese medicine combined with quadratus femoris muscle pedicled bone flap transfer in the treatment of early avascular necrosis of the femoral head. METHODS 90 cases of early femoral head necrosis were selected from January 2017 to October 2017. According to voluntary and random principle,group A was treated with femoris pedicle bone flap transfer,group B was simple Chinese medicine treatment group,and group C with femoris pedicle bone flap transfer with traditional Chinese medicine treatment group,30 cases in each group. After 1 year follow-up,the ratio of femoral head displacement and femoral head collapse and the Harris score of hip joint were compared among the three groups. RESULTS After 1 years follow-up,the proportion of Ficat stage in group C was higher than that of group B and A group( P< 0.05). The Harris score of the hip joint in group C was better than that of group A and B( P<0.05) for 3 months,6 months and 12 months after treatment.CONCLUSION The combination of traditional Chinese medicine with femoris pedicle bone flap transfer is a better method to treat early avascular necrosis of the femoral head with small trauma and simple operation.
作者
杨家林
王世鑫
朱绍琼
张四清
邹厚辉
YANG Jialin;WANG Shixin;ZHU Shaoqiong;ZHANG Siqing;ZOU Houhui(Department of Orthopedics,Xingguo Hospital of Traditional Chinese Medicine,Ganzhou,Jiangxi 342400,China)
出处
《今日药学》
CAS
2018年第11期762-764,共3页
Pharmacy Today
关键词
带股方肌蒂骨瓣转移术
桃红四物汤
股骨头缺血性坏死
早期
quadratus femoris pedicled bone flap transfer
taohongsiwu decoction
avascular necrosis of femoral head
early stage
