资源描述:
《液电式体外冲击波联合减压植骨术治疗早期股骨头缺血性坏死的临床疗效观察》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、成都中医药大学2015届硕士学位论文andthenplacingtheinnerringwithintheouterringsawsawevenremovebonecolumn,removethetrephineinexpandingpressurereducer(accordingtothedegreeoffemoralheadnecrosischoosetouseasingleedgeordoubleedge)athoroughdecompression;Withacuretclearnecrosisofskeletal
2、,removebeforecanonceagainusetheautograftandallograftboneandcutintoabout2-3mmsmallbonegrain,thenstirinsidethecontainer,thefunnel-shapedimplantedboneartifactsslowlyevenimplant,andstepbysteptoplay,finallythefibulaintunnel.Checkequipment,afterhavingconfirmedalargenumbe
3、rofphysiologicalsalineflushingthewound,layeredsuture,neverputofftilltomorrowwhatyoucan.Thepatientsafteranesthesiatosafelybackward.PostoperativetotanshinoneⅡsodiumsulfonatestaticdrop40mg/day,abonemelonextractstaticdrop20ml/day,10consecutivedaystopromotingbloodcircul
4、ationtoremovebloodstasis,regulatingbonemetabolism;Tothebonepeptideoral0.9g/time,3times/day,afairyboneremainscapsuleoral1.5g/time,3times/day,4-6weeksforaperiodoftreatmentwithtonickidney,strongglutenJianGu,promotingbonehealing.Shockwavetherapygroup(joint):accordingto
5、thepostoperativepatientsinstablecondition,in2-3daysstartwithshockwavetherapy:patientswithfirstsideorproneposition,determinethefemoralheadsurfaceprojectionarea(femoralgreatertrochanterhighsandsacralcanalintheattachmentoftheChineseandforeignthirdintersectionpointslig
6、htlyabove)andtaginbodysurface,accordingtolocalskinconditionselectedimpactpoint;Localcoatedchamedicalcouplingagent,thesecondliquidbatteryextracorporealshockwave(ESWT)verticalalignmentandfixedintheimpactpoint,headthroughthecouplingagenttreatmentcombinedwithskinfully(
7、mustavoidthegreatvesselsandnervesconcentrationareas);Voltageinaccordancewiththepatientspaintolerancedegreeadvisable,generalshocktherapy12kvvoltageof5kv-,eachdischargetime,800-1000,about15minuteseachtimeintervaloftwotofourdays,atotaloftreatment6-8times.4万方数据成都中医药大学2
8、015届硕士学位论文Preoperativeandpostoperativeobservationandevaluationindicatorsmainlyinclude:mainHarrisevaluation,VASscore,pelvicplainfilm,etc.Observati