三联疗法治疗股骨头缺血性坏死的临床观察

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1、湖北中医学院硕士学位论文ClinicalEvaluationofthefmetotaJrate66．8％，clinicalefficiencyof88％．WhichFicatstage：PhaseIIIhiptotal7，excellentrate14．3％，phaseIIhip28，theexcellentandgoodrate75．0％，PhaseIhip7，excellentrate85．7％，ascomparedwiththePhaseIIanalysisshowedthatHarrisscoresignificantlybetterthanPhaseIII，IIandIII，P<0

2、．05．、析thstatisticalsignificance，IandII，P>0．05，thereWasnostatisticalsignificance；Age：18t035yearsofagegroup22hip，goodrate77．3％，35to50yearsofagegroup13hip，goodrate70．O％，over50yearsofagegroup9hip，goodrate30．0％，35to50yearsofagegroupandover50yearsofagegroup，P<0．05，astatisticallysignificant；18～35一year-old

3、groupandthe35to50agegroup，P>0．05，therewasnostatisticalsignificance；location：themedial-19hips，goodrateof79．O％，theCentral-15hips，goodrateof60．O％，lateral-8Hip，excellentrateof50．O％，comparedefficacybetweenthethreegroups，P<0．05，bo也statisticalsignificance；Duration：within1yearsofl2hip，goodrateof91．5％，1to4y

4、ears19hip，goodrateof79．0％，4morethanyearsofl1hip，goodrateof18．2％，withinthecourseof1yeargroup，thecourseof1to4yearsgroup、析t114yearsormoregroup，P

5、rmones14hip，theother9hip，excellentrateswere60．O％、71．4％、68．7％、66．7％，4groups，P>0．05，nostatisticalsignificance．Conelusion：Thefemoralheadmyeloidcoredrillingdecompressionandbonegraft，tractionandfunctionaltrainingandCHMcombinationoftripletherapytreatmentAVNwithlesstrauma、fewersequels、safe、simple、effectiv

6、eandadvantages，especiallyFicatstageItothePhaseIII、fortheagegroupunder50yearsofage、durationshorter、medialnecrosissitefortheeffectofsignificantly,buttheeffectofdifferentcausesnosignificantdifference．Keywords：avascularnecrosistripletherapyClinicalobservation4湖北中医学院硕士学位论文前言骨坏死是指血供中断后骨细胞及骨髓成分死亡及随后的修复过程及

7、结局。综合国际骨循环研究会(ARCO)及美国骨科医师协会(AAOS)的建议，将股骨头缺血性坏死(avascularnecrosis，AV-N)定义为n’：股骨头血供中断或受损，引起骨细胞及骨髓成分死亡及随后的修复，继而导致股骨头结构改变，弓l起股骨头塌陷及关节功能障碍的疾病。AVN在临床上可分为创伤性和非创伤性两大类，是骨科的常见病、多发病，其发病机理仍未完全清楚，其治疗一直是国内外公认的难题。非创伤性主要累