单纯钽棒与钽棒联合自体骨移植治疗早期股骨头坏死的临床对比分析(1)
DOI：10.16662/j.cnki.1674-0742.2017.23.053
[摘要] 目的 探析单纯钽棒与钽棒联合自体骨移植治疗早期股骨头坏死的临床对比。方法 2015年6月—2016年5月，该院共收治早期股骨头坏死患者66例，依照其入院单双次序将其分为对照组(n=33)与观察组(n=33)。对照组行单纯的髓芯减压多孔钽棒植入治疗，观察则行髓芯减压多孔钽棒植入联合自体骨移植治疗。对两组患者临床治疗效果进行对比。结果 在临床治疗优良率上，对照组远不及观察组(72.73%<93.94%)，差异有统计学意义(P<0.05)。在塌陷发生率上，观察组较对照组明显偏低(3.03%<18.18%)，差异有统计学意义(P<0.05)。结论 钽棒联合自体骨移植在早期股骨头坏死的临床治疗效果上优于单纯的钽棒治疗，应在临床治疗予以推广。
[关键词] 钽棒；自体骨移植；早期股骨头坏死
[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742(2017)08(b)-0053-03
Clinical Comparison of Simple Tantalum Rod and Tantalum Rod Combined with Autologous Bone Graft in the Treatment of Early Femoral Head Necrosis
MAO Xiao-cheng， HUANG Ya-nan
Section Two， Department of Orthopedics， Quanzhou People’s Liberation Army 180 Hospital， Quanzhou， Fujian Province， 362000 China
[Abstracts] Objective This paper tries to explore the clinical comparison of simple tantalum rod and tantalum rod combined with autologous bone graft in the treatment of early femoral head necrosis. Methods 66 cases of femoral head necrosis patients from June 2015 to May 2016 in this hospital were selected and divided into the control group(n=33) and observation group(n=33) in accordance with the single and double admission order. The control group was treated with pure medullary decompression polytantalum， and the observation group was treated with a combined autologous bone grafting. The clinical effect of the two groups was compared. Results As for the curative efficiency， the control group was less than the observation group(72.73%<93.94%)， and the difference was statistically significant(P<0.05). In the incidence of collapse， the observation group was significantly lower than the control group(3.03%<18.18%)， and the difference was statistically significant(P<0.05). Conclusion the combination of tantalum and autologous bone grafts in the clinical treatment of the necrosis of early femoral bone is superior to that of pure tantalum rod treatment， and should be promoted in clinical treatment.
[Key words] Tantalum rod； Autologous bone grafting； Early bone necrosis
股骨頭坏死是在诸多因素共同作用下形成的，该疾病的病理性改变主要为机体血液供应系统发生异常，使软骨下骨出现坏死或者变性，进而使股骨头部位呈现囊性病变以及塌陷，最终发生髋关节退行性病变[1-3]。为提高该病的临床治疗效果，该次研究特整群选择该院2015年6月—2016年5月所收治的66例患者为对象，并给予其中部分患者以钽棒联合自体骨移植治疗，以观察其临床治疗效果，现报道如下。
1 资料与方法
1.1 一般资料
整群选取该院早期股骨头坏死患者66例，依照其入院单双次序将其分为对照组(n=33)与观察组(n=33)。对照组：男19例，女14例；年龄33～57岁，平均年龄(45.5±6.1)岁；病程2～8个月，平均病程(5.1±0.8)个月。观察组：男18例，女15例；年龄31～56岁，平均年龄(45.1±6.2)岁；病程2～7个月，平均病程(5.2±0.7)个月。此两组研究对象性别、年龄以及病程等对比差异无统计学意义(P>0.05)。, 百拇医药(毛小成 黄亚男)
[摘要] 目的 探析单纯钽棒与钽棒联合自体骨移植治疗早期股骨头坏死的临床对比。方法 2015年6月—2016年5月，该院共收治早期股骨头坏死患者66例，依照其入院单双次序将其分为对照组(n=33)与观察组(n=33)。对照组行单纯的髓芯减压多孔钽棒植入治疗，观察则行髓芯减压多孔钽棒植入联合自体骨移植治疗。对两组患者临床治疗效果进行对比。结果 在临床治疗优良率上，对照组远不及观察组(72.73%<93.94%)，差异有统计学意义(P<0.05)。在塌陷发生率上，观察组较对照组明显偏低(3.03%<18.18%)，差异有统计学意义(P<0.05)。结论 钽棒联合自体骨移植在早期股骨头坏死的临床治疗效果上优于单纯的钽棒治疗，应在临床治疗予以推广。
[关键词] 钽棒；自体骨移植；早期股骨头坏死
[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742(2017)08(b)-0053-03
Clinical Comparison of Simple Tantalum Rod and Tantalum Rod Combined with Autologous Bone Graft in the Treatment of Early Femoral Head Necrosis
MAO Xiao-cheng， HUANG Ya-nan
Section Two， Department of Orthopedics， Quanzhou People’s Liberation Army 180 Hospital， Quanzhou， Fujian Province， 362000 China
[Abstracts] Objective This paper tries to explore the clinical comparison of simple tantalum rod and tantalum rod combined with autologous bone graft in the treatment of early femoral head necrosis. Methods 66 cases of femoral head necrosis patients from June 2015 to May 2016 in this hospital were selected and divided into the control group(n=33) and observation group(n=33) in accordance with the single and double admission order. The control group was treated with pure medullary decompression polytantalum， and the observation group was treated with a combined autologous bone grafting. The clinical effect of the two groups was compared. Results As for the curative efficiency， the control group was less than the observation group(72.73%<93.94%)， and the difference was statistically significant(P<0.05). In the incidence of collapse， the observation group was significantly lower than the control group(3.03%<18.18%)， and the difference was statistically significant(P<0.05). Conclusion the combination of tantalum and autologous bone grafts in the clinical treatment of the necrosis of early femoral bone is superior to that of pure tantalum rod treatment， and should be promoted in clinical treatment.
[Key words] Tantalum rod； Autologous bone grafting； Early bone necrosis
股骨頭坏死是在诸多因素共同作用下形成的，该疾病的病理性改变主要为机体血液供应系统发生异常，使软骨下骨出现坏死或者变性，进而使股骨头部位呈现囊性病变以及塌陷，最终发生髋关节退行性病变[1-3]。为提高该病的临床治疗效果，该次研究特整群选择该院2015年6月—2016年5月所收治的66例患者为对象，并给予其中部分患者以钽棒联合自体骨移植治疗，以观察其临床治疗效果，现报道如下。
1 资料与方法
1.1 一般资料
整群选取该院早期股骨头坏死患者66例，依照其入院单双次序将其分为对照组(n=33)与观察组(n=33)。对照组：男19例，女14例；年龄33～57岁，平均年龄(45.5±6.1)岁；病程2～8个月，平均病程(5.1±0.8)个月。观察组：男18例，女15例；年龄31～56岁，平均年龄(45.1±6.2)岁；病程2～7个月，平均病程(5.2±0.7)个月。此两组研究对象性别、年龄以及病程等对比差异无统计学意义(P>0.05)。, 百拇医药(毛小成 黄亚男)