摘要
目的:探讨股骨头坏死患者通过改良钽棒技术治疗后的生存率及患者预后的临床效果。方法:选取笔者所在医院2013年10月-2014年10月救治的股骨头坏死患者100例,随机分组法分为观察组(改良钽棒技术结合髓芯减压治疗组)和对照组(单纯钽棒技术治疗组)各50例,针对患者的生存率、术后VAS疼痛评分情况及Harris髋关节功能评分情况等方面,对两组进行对比分析。结果:在患者的生存率方面,观察组明显优于对照组(P<0.05);在术后VAS疼痛评分情况方面,观察组明显低于对照组(P<0.05);在Harris髋关节功能评分方面,观察组明显优于对照组(P<0.05)。应用Kaplan-Meier生存曲线分析,采用log-rank检验预后因素主要与股骨头骨髓水肿、皮质激素使用、钽棒植入有关(P<0.05)。结论:针对股骨头坏死患者的治疗,改良钽棒技术结合髓芯减压治疗与单纯钽棒技术治疗相对比,前者术后疼痛明显低,且生存率更高、髋关节功能评分更高,应推广应用。
Objective： To investigate the survival rate of patients with femoral head necrosis after treatment with modified tantalum rod and the clinical effect of prognosis.Method： From October 2013 to October 2014, 100 cases of femoral head necrosis were treated in our hospital.They were divided into the observation group（modified tantalum rod technique combined with core decompression treatment group） and the control group（simple tantalum rod treatment group） according the randomized grouping method, 50 cases in each group.The survival rate, postoperative VAS pain score and Harris hip function score were compared in the two groups.Result： The survival rate of the patients in the observation group was significantly better than that of the control group（P〈0.05）.In the postoperative VAS pain score, the observation group was significantly lower than the control group（P〈0.05）.Functional score in the observation group was significantly better than the control grotlp（P〈0.05）.Kaplan-Meier survivai curve analyed, using log-rank test prognosis factors mairdy with femoral head bone marmw edema, certicosteroid use, tantalum rod implantation（P〈0.05）.Conclusion： In contrast the improved tantalum rod technique combined with core decompression therapy and tantalum rod technique alone in the treatment of patients with femoral head necrosis, the former postoperative pain is significantly reduced, and the hip survival rate is higher and the hip function score is higher, shall promote the application.
出处
《中外医学研究》
2017年第14期6-7,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
改良钽棒技术
股骨头坏死
生存率
预后
Modified tantalum rod technique
Femoral head necrosis
Survival rate
Prognosis
