摘要
股骨头坏死是多因素导致的病理生理过程。未经有效治疗的股骨头坏死患者中约80%在发病4年内出现股骨头塌陷。股骨头坏死的治疗方案应根据患者的病因和病程制定,早中期患者多可通过保头手术预防或延缓病情进展。保头手术主要包括髓芯减压术、植骨术、多孔钽棒置入术、截骨术、细胞因子或干细胞移植术。本文就上述治疗方法的研究进展作一综述。
Osteonecrosis of the femoral head is a pathophysiologic process caused by multiple factors,with 80%of untreated patients progressing to the collapse of the femoral head within four years after the onset of the disease.The treatment protocols should be made according to the patient’s etiology and the course of the disease.For the early-and middle-stage patients,the progress of the disease could be prevented or delayed via the hip-preserving surgeries,which mainly including core decompression,bone grafting,porous tantalum rod insertion,osteotomy,cytokine treatment or stem cell transplantation.In this paper,the research progresses of the above surgical methods is reviewed.
作者
丁佐佑
陈增淦
DING Zuo-you;CHEN Zeng-gan(Department of Orthopaedics,Zhongshan Hospital,Fudan University,Shanghai 200032,China)
出处
《中国临床医学》
2018年第5期830-834,共5页
Chinese Journal of Clinical Medicine
关键词
股骨头坏死
保头手术
治疗效果
髓芯减压
osteonecrosis of the femoral head
hip-preserving surgery
treatment effect
core decompression
