| 颜景坤,郭洪敏,聂志奎,李林,刘庆胜,牛建兵.胫骨骨膜瓣移植治疗Ficat2期股骨头坏死近期临床疗效分析[J].济宁医学院学报,2011,(1):20-21,24 |
| 胫骨骨膜瓣移植治疗Ficat2期股骨头坏死近期临床疗效分析 |
| The analysis of recent clinical treatment effects of ANFH of Ficat2 by using tibial periosteal transplantation |
| 投稿时间：2010-12-15 |
| DOI：10.3969/j.issn.1000-9760.2011.01.007 |
| 中文关键词: 胫骨骨膜瓣移植|股骨头坏死|手术治疗 |
| 英文关键词: Shin preinstall transplantation|Avascular necrosi|Surgical treatment |
| 基金项目: |
| 作者 | 单位 | | 颜景坤 | 山东省医学科学院, 山东济南 250062 | | 郭洪敏 | 济宁医学院附属第一人民医院, 山东济宁 272011 | | 聂志奎 | 济宁医学院附属第一人民医院, 山东济宁 272011 | | 李林 | 济宁医学院附属第一人民医院, 山东济宁 272011 | | 刘庆胜 | 济宁医学院附属第一人民医院, 山东济宁 272011 | | 牛建兵 | 济宁医学院附属第一人民医院, 山东济宁 272011 |
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| 中文摘要: |
| 目的 评价吻合血管胫骨骨膜瓣移植+取髂骨植骨治疗2期股骨头坏死的临床疗效。方法 从2008年2月至2010年2月,在我院采用吻合血管胫骨骨膜瓣移植+取髂骨植骨治疗股骨头坏死25例,其中男17例,女8例,平均年龄36.2岁(25~48岁)。手术凿刮骨坏死囊变组织,取髂骨松质骨填塞、压实,取游离带血管胫骨骨膜瓣与旋股外升支动静脉吻合。患者术前、术后分别进行髋关节评分。结果 术后随访3~12月,优良率达92%。结论 该手术可在直视下彻底清除坏死囊变组织和减压,同时植入新鲜松质骨,为坏死区再血管化清除障碍和支撑作用,防止股骨头进一步塌陷,植入的带血管游离胫骨骨膜瓣可增加股骨头部的血供,此术式可用于Ficat 2期病例。 |
| 英文摘要: |
| Objective To evaluat the short term clinical effect of ANFH of Ficat2 stage by using tibial periosteal transplantation+bone graft take from illacbone.Methods From February 2008 to February 2010, 25 patients(25 hips) in our hospital were involved in this study.The patients, including male 17 cases, 8 cases of female, with an average age of 36.2(25-48 years old), were treated by using tibial periosteal transplantation+bone graft take from illacbone.The preoperative and postoperative patients with hip score were marked respectively.Results The excellence rate was 92% at follows-up of 3-12 months.Conclusion This operation can remove necrotic tissue capsule, with variable pressure fresh chancellors bone implanted, necrotic area revascularization, and remove obstacles to prevent further collapse of femoral head.Shin preinstall transplantation can increase the blood supply of the femoral head.This surgical method can be used for the patients of Ficat 2 stage. |
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