【摘要】 目的  探討介入治療股骨頭無菌性壞死（ANFH）的療效。 方法  納入1996-2009年間確診的ANFH患者15例，采用經外周動脈穿刺插管的方法，經血管造影明確供血血管的位置，經導管向其內灌注擴張血管藥、舒筋活血中藥和溶栓藥物，以改善股骨頭供血狀況；并追蹤隨訪1~3年，根據楊白明評定標準從疼痛、功能、X線片3個方面進行判定，觀察其臨床癥狀的改善。 結果  Ⅰ~Ⅲ期ANFH患者的臨床癥狀減輕，甚至消失；痊愈50%，顯效25%，有效15%。 結論  介入治療Ⅰ~Ⅲ期ANFH的療效顯著。
【Abstract】 Objective  To investigate the curative effects of interventional therapy in aseptic necrosis of the femoral head (ANFH). Methods  Fifteen patients with ANFH diagnosed from 1996 to 2009 were respectively analyzed. With peripheral arterial puncture methods from peripheral artery, the feeding artery was clarified by using angiography and infused the angiectasia agent, traditional Chinese medicine which could distend blood vessel and thrombolysin to improve blood supply of femoral head. All patients were followed up for one to three years to observe improvement of clinical symptoms. Results  Clinical symptom of ANFH in stage Ⅰ-Ⅲ were alleviated or even disappeared, among whom 50% were removed, 25% were markedly effective, and 15% were effective. Conclusion  Interventional therapy has significant curative effect in treating ANFH, especially for stage Ⅰ-Ⅲ.

引用本文： 李剛,高琳. 介入治療股骨頭無菌性壞死的療效觀察. 華西醫學, 2010, 25(8): 1453-1454. doi: 復制