微创减压腓骨支撑术与头颈部开窗打压植骨术治疗早中期股骨头坏死疗效比较

《微创减压腓骨支撑术与头颈部开窗打压植骨术治疗早中期股骨头坏死疗效比较》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、万方数据南京中医药大学硕士学位论文ObjectiveAbstractThroughclinicalretrospectivestudy，comparetheclinicaleffectofmicroinvasiveallo．fibulaimplantationwithcoredecompressionandbonegraftingthroughfenestrationoverfemoralheadandneckinthetreatmentofearlyfemoralheadnecrosis．Toanalyzeth

2、eadvantagesanddisadvantagesoftwodifferentsurgicalmethods，Soastoprovideclinicalbasisforthetreatmentoffemoralheadnecrosis，improvethecurativeeffectofhipsurgery．Combinedwiththemotherlandmedicineliteraturestudyoffemoralheadnecrosis，selectkidneypromotingbloodcircul

3、ationtoremovebloodstasisaftertakingChinesemedicine，thecurativeeffectofthesurgery．Methods1．TheoreticalresearchBylookingatthemotherlandmedicineallpreviousdynastiesliterature，understandthemotherlandmedicineunderstandingoffemoralheadnecrosis，accordingtothecharact

4、erofthenecrosisofthefemoralheadtypecharacteristics．Typecharacterrelatedtothestudyoftreatmentmethod，andthemainuseoftraditionalChinesemedicine(TCM)，andtoguideclinical2．ClinicalresearchFromNovember2009toNovember2013，30patients(40hips)withearlyosteonecrosisoffemo

5、ralhead(StageIIB～IIIAaccordingtotheclassificationsystemofARCO)wereselectedinthisstudy．ThosepatientswererandomlyassignedtogroupAandB，treatedbymicroinvasiveallo．fibulaimplantationwithcoredecompression(20hips)orbonegraftingthroughfenestrationoverfemoralheadandne

6、ck(20hips)respectively．Theclinicaleffectoftwogroupswerecompared，andtheVASscoreinlweekpostoperation，Harrishipscore(HHS)andradiologicallyscorewerealSOevaluated．ResultsTheVASscorein1weekpostoperation：groupAscore(2．40士1．20)andgroupBscore(4．30士1．50)，groupAwerelowe

7、rthangroupB，Thedifferencewassignificant(t=一3．81，P

8、，thedifferencewassignificant(P<0．05)．TheHHSofgroupAwithstageARCOIIBwashigherthanthatingroupB，thedifferencewassignificant(P<0．05)；becauseofthesmallsamplessize，stageARCOIICandAgCOmAhavenost