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ID:34161840
大小:6.05 MB
页数:32页
时间:2019-03-04
《头颈开窗髂骨植骨联合干细胞移植治疗早期股骨头坏死的分析》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、英文摘要chopintosmallpieces(0.5xO.5x0.5cm3)mixingtogethewithPBSC,thenholditfor30mimtes.Wefene;stratethewindowabout1.5x1-5cln2dislodgethenecrosisbonetissuebyosteotomeintotheholefirmlyandfinallyandosteocuret,thenputthemixedtussuecovethewindowwithalargerbone.3.postope
2、rativemanagement.paitentsexcersisehiponno-weightbeatingunderdoctor,Sguide2daysafteroperation.Patientscan’tloadonfieldwithin3months.3monthslater,theycanmoveunderpartialweightbearingwithcrutches.ThecrutchesCan’tbediscardedfor1year.Weprescribethemsixtooneyears’dru
3、gswhichhealthewound.Theypayareturnvisitonschedule·curativeeffectwasanalyzedaccordingtoclinicalsymptoms,thescoreofhipiointfunction,thefilmofXrayandCTbeforeandafteroperation.weovdDallofⅡlepatientspreoperativeandpostoperativeHarrisscoringmatchingttestusingSPSSl3.0
4、statisticalsoftwareforstatisticalanalysisResults:Theresultof21hipsin36patientsareincluded,noshedding.thepatientswereallfollowedupfor1to4years.wereassessedandgradedaccordingtotheHarrishipscorecriteriabasedontheaspectsofthedegreeofpain,iointfunction,scopeofactivi
5、tie.29hippaindisappear,activitiesfreely,curativeeffectisexcellent.6hips’conditionrelives.curativeeffectismoderate.1hipaggravatesandcurativeeffctispoor.excellentandgoodrateIS97.2%(35/36).X-rays,CTsshowbonedensity,bonetrabecularstructureobviouslyimprovedthanpreop
6、eration,29hipsobtainedexcellentresults.6hipsgotreliefofclinicalsymptoms.1hiphadnoimprovement.Therateofexcellentandgoodwas97.2%(35/36).ThehipsHarrisscoreincreasedaveragelyfrompreoperative44.9+5.6topostoperative90.5士5.1(e<0·05)·Conclusion:Bonetransplantationthrou
7、ghfenestrationoverthefemoralheadandneckcombinedwithimplanationofperipheralbloodstemcellscanimprovethefunctionofhipsintheARCOIandIIstageandrelievethepain.ThetotalarthroplastyCanbedelayed.keywords:osteonecrosisoffemoralhead;therapies;peripheralbloodstemcells;tran
8、splantation;hipsHarrisscore研究论文头颈开窗髂骨植骨联合干细胞移植治疗早期股骨头坏死的研究刖禹股骨头坏死(osteonecrosisofthefemoralhead,ONFH)又称股骨头缺血性坏死(avascularnecrosisoffemurhead,ANFH),是骨科领域常见的难治性疾病。由于股骨头血供中断或受损
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