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目的 :通过用带旋髂深血管蒂髂骨瓣骨膜移植和中药 ,探讨一种治疗股骨头缺血性坏死的方法。方法 :采用带旋髂深血管蒂髂骨瓣骨膜移植和中药综合治疗股骨头缺血性坏死。结果 :治疗 78例 ,5年以上随访 40例 ,采用 Harris疗效评分标准 ,其中优 2 3例 ,良 12例 ,可 5例。优良率 87.5 %。结论 :手术方法和结合中药治疗股骨头缺血性坏死具有协同作用 ,中药具有改善受血区的血液循环 ,增强移植骨成骨能力的作用。
OBJECTIVE: To explore a method for the treatment of avascular necrosis of the femoral head by periosteal transplantation of ilium flap with deep iliac vessels pedicled with iliac vessels. Methods: The treatment of avascular necrosis of the femoral head with periosteal transplantation of ilium flap with deep iliac circumflex iliac artery and traditional Chinese medicine. Results: 78 cases were treated and 40 cases were followed up for more than 5 years. Harris curative effect score was used, of which 23 cases were excellent, 12 good and 5 fair. Excellent rate of 87.5%. Conclusion: The surgical method and the combination of traditional Chinese medicine treatment of avascular necrosis of femoral head have a synergistic effect, Chinese medicine can improve blood circulation in the affected area, enhance the ability of bone graft.